Dental Board of California
Licensing details for: 28761
Name: MEHTA, ASHOKKUMAR S
License Type: Dentist
Primary Status: Current - Active
Address of Record
10900 Los Alamitos Blvd Ste 13
LOS ALAMITOS CA 90720-2354
ORANGE 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: ASHOKKUMAR S. MEHTA, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8382 Primary Status: Cancelled
Address :
9514 WHITTIER BL
PICO RIVERA CA 90660
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: MEHTA, PATEL & SHAH, A DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8178 Primary Status: Cancelled
Address :
303 S DIAMOND BAR, BL, STE 133
DIAMOND BAR CA 91765
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: ASHOKKUMAR S. MEHTA D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80996 Primary Status: Current - Active
Address :
330 N. STATE COLLEGE BLVD #105
ANAHEIM CA 92806
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: ASHOKKUMAR S. MEHTA DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79335 Primary Status: Current - Active
Address :
740 EL CAMINO REAL #200
TUSTIN CA 92780
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: ASHOKKUMAR SHANTILAL MEHTA, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8169 Primary Status: Cancelled
Address :
9514 WHITTIER BLVD
PICO RIVERA CA 90660
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MEHTA DENTAL GROUP, ASHOKKUMAR S. MEHTA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 11641 Primary Status: Cancelled
Address :
200 E IMPERIAL HWY
BREA CA 92821
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTHLAND DENTAL ARTS, DENTAL OFFICE OF ASHOKKUMAR S. MEHTA, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 9185 Primary Status: Cancelled
Address :
13771 NEWPORT AVENUE #11
TUSTIN CA 92780
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MEHTA DENTAL GROUP, ASHOKKUMAR S. MEHTA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 10878 Primary Status: Cancelled
Address :
10900 LOS ALAMITOS BLVD #133
LOS ALAMITOS CA 90720
ORANGE COUNTY
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: IMPERIAL DENTAL GROUP, ASHOKKUMAR S MEHTA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4745 Primary Status: Cancelled
Address :
200 E IMPERIAL HWY
BREA CA 92821
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, ASHOKKUMAR S. MEHTA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 11641 Primary Status: Cancelled
Address :
200 E IMPERIAL HWY
BREA CA 92821
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: IMPERIAL DENTAL GROUP, ASHOKKUMAR S MEHTA, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4745 Primary Status: Cancelled
Address :
200 E IMPERIAL HWY
BREA CA 92821
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
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, PRACTICE OF ASHOKKUMAR S. MEHTA D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 16839 Primary Status: Current - Active
Address :
330 N. STATE COLLEGE BLVD, SUITE 105
ANAHEIM CA 92806
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, ASHOKKUMAR S. MEHTA, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 10878 Primary Status: Cancelled
Address :
10900 LOS ALAMITOS BLVD #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: SOUTHLAND DENTAL ARTS, DENTAL OFFICE OF ASHOKKUMAR S. MEHTA, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 9185 Primary Status: Cancelled
Address :
13771 NEWPORT AVENUE #11
TUSTIN CA 92780
ORANGE COUNTY
