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Licensing details for: 44215

Name: MEHTAR, GHASSAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

32281 Camino Capistrano
Suite C-101
SAN JUAN CAPISTRANO CA 92675-3784
ORANGE county
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Practice Location

32241 Camino Capistrano
A-100
SAN JUAN CAPISTRANO CA 92675-3708
ORANGE county
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Issuance Date

May 7, 1997

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
9:43:26 AM

License Relationships

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: CAPISTRANO DENTISTRY, DENTAL OFFICE OF GHASSAN MEHTAR, DDS

License/Registration Type: Fictitious Name Permit

License Number: 4377 Primary Status: Cancelled

Address :
32281 CAMINO CAPISTRANO, #101-C
SAN JUAN CAPISTRANO CA 92675
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: CAPISTRANO DENTISTRY, DENTAL OFFICE OF MEHTAR DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 5693 Primary Status: Current - Active

Address :
32281 CAMINO CAPISTRANO
STE 101-C
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

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