Dental Board of California
Licensing details for: 100438
Name: Hart, Manerva Jeanette
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Practice Location
1115 S Sanderson Ave
HEMET CA 92545-9047
RIVERSIDE county
Map
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: PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81449 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: HART AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79817 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET MODERN DENTISTRY DENTAL GROUP HART AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14497 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET MODERN DENTISTRY DENTAL GROUP, PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17658 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE 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: HEMET MODERN DENTISTRY DENTAL GROUP HART AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14497 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE 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: HEMET MODERN DENTISTRY DENTAL GROUP, PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17658 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
