Dental Board of California
Licensing details for: 28597
Name: MEHTA, MAHENDRAKUMAR
License Type: Dentist
Primary Status: Current - Active
Address of Record
4576 Whittier Blvd
LOS ANGELES CA 90022-2430
LOS ANGELES 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: MAHENDRAKUMAR V MEHTA, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7923 Primary Status: Cancelled
Address :
4300 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE 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: MAHENDRAKUMAR MEHTA, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80686 Primary Status: Cancelled
Address :
3167 N. GAREY AVE
POMONA CA 91767-1366
LOS ANGELES 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: MAHENDRAKUMAR V MEHTA, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7924 Primary Status: Cancelled
Address :
16910 S HAWTHORNE BLVD
LAWNDALE CA 90260
LOS ANGELES 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: MAHENDRAKUMAR V MEHTA, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 5524 Primary Status: Cancelled
Address :
3972 N WATERMAN STE 110
SAN BERNARDINO CA 92404
SAN BERNARDINO 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: LOS ALAMITOS DENTAL GROUP, MAHENDRAKUMAR MEHTA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4469 Primary Status: Cancelled
Address :
4300 KATELLA AVE
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: WILDWOOD DENTAL OFFICE, DR. M.V. MEHTA'S DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1194 Primary Status: Cancelled
Address :
3972 N. WATERMAN AVE #110
SAN BERNARDINO CA 92404
SAN BERNARDINO 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: LOS ALAMITOS DENTAL PRACTICE, MAHENDRAKUMAR
License/Registration Type: Fictitious Name Permit
License Number: 3971 Primary Status: Cancelled
Address :
4300 KATELLA AVE
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: DR. MEHTA'S GROVE DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 16045 Primary Status: Cancelled
Address :
3167 N GAREY AVE
POMONA CA 91767-1366
LOS ANGELES 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: BAY DENTAL CENTER, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4284 Primary Status: Cancelled
Address :
16910 SO HAWTHORNE BLVD
LAWNDALE CA 90260
LOS ANGELES 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: DR. MEHTA'S FAMILY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1147 Primary Status: Cancelled
Address :
4576 WHITTIER BLVD
LOS ANGELES CA 90022
LOS ANGELES 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: BAY DENTAL CENTER, MAHENDRAKUMAR V MEHTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 3952 Primary Status: Cancelled
Address :
16910 SO HAWTHORNE BLVD
LAWNDALE CA 90260
LOS ANGELES 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: WILDWOOD DENTAL GROUP, MEHTA DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 3555 Primary Status: Cancelled
Address :
3972 N WATERMAN AVE
SAN BERNARDINO CA 92404
SAN BERNARDINO COUNTY
