Dental Board of California
Licensing details for: 100353
Name: Patel, Mohini
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MOHINI PATEL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81445 Primary Status: Cancelled
Address :
5925 BIRDCAGE CENTRE LANE, SUITE D105
CITRUS HEIGHTS CA 95610
SACRAMENTO 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: Citrus Heights Modern Dentistry, Dental Group of Citrus Heights Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20233 Primary Status: Current - Active
Address :
5925 Birdcage Centre Lane Suite D105
CITRUS HEIGHTS CA 95610
