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Licensing details for: 42538

Name: DESAI, AMIT J

License Type: Dentist

Primary Status: Current - Active

Address of Record

8224 JOSHUA CIRCLE
BUENA PARK CA 90620
ORANGE county
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Issuance Date

April 25, 1995

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
8:26:55 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AMISTAD DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 2002 Primary Status: Cancelled

Address :
1028 WEST FIRST STREET
SUITE E
SANTA ANA CA 92703
ORANGE COUNTY

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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: AMISTAD DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 2002 Primary Status: Cancelled

Address :
1028 WEST FIRST STREET
SUITE E
SANTA ANA CA 92703
ORANGE COUNTY

Map

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