Dental Board of California
Licensing details for: 100160
Name: MEHTA, BIRJU ASHOK
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2379 Skyline Dr
FULLERTON CA 92831-1127
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MEHTA DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 17173 Primary Status: Current - Active
Address :
10900 LOS ALAMITOS BL, SUITE #133
LOS ALAMITOS CA 90720
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MEHTA DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 17173 Primary Status: Current - Active
Address :
10900 LOS ALAMITOS BL, SUITE #133
LOS ALAMITOS CA 90720
ORANGE COUNTY
