Dental Board of California
Licensing details for: 101748
Name: MEHTA, NISHIT JATINBHAI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SWEET TOOTH FAMILY DENTISTRY, DENTAL OFFICE OF MEHTA & PIPALIA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 16820 Primary Status: Current - Active
Address :
1990 SHAW AVE., STE C
CLOVIS CA 93611-4184
FRESNO 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: SWEET TOOTH FAMILY DENTISTRY, DENTAL OFFICE OF MEHTA & PIPALIA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 16820 Primary Status: Current - Active
Address :
1990 SHAW AVE., STE C
CLOVIS CA 93611-4184
FRESNO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MEHTA, NISHIT JATINBHAI
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4170 Primary Status: Current - Active
Address :
2046 Shaw Ave
CLOVIS CA 93611-4176
FRESNO COUNTY
