Dental Board of California
Licensing details for: 50491
Name: MEHTA, MAYUR BHARATKUMAR
License Type: Dentist
Primary Status: Current - Active
Previous Names: MEHTA, MAYURKUMAR BHARATKUMAR
Address of Record
14466 Main St
SUITE B 107
HESPERIA CA 92345-4664
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: MAYUR MEHTA DDS INC.
License/Registration Type: Additional Office Permit
License Number: 11449 Primary Status: Cancelled
Address :
14466 MAIN STREET STE B 107
HESPERIA CA 92345
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: BAYSIDE DENTAL CARE, DENTAL OFFICE OF MEHTA PANDYA PROF. DENTAL C
License/Registration Type: Fictitious Name Permit
License Number: 6894 Primary Status: Cancelled
Address :
1884 1/2 S. PACIFIC COAST HWY.
REDONDO BEACH CA 90277
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: MAPLE DENTAL, DENTAL OFFICE OF MAYUR MEHTA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 11682 Primary Status: Current - Active
Address :
14466 MAIN ST STE B-107
HESPERIA CA 92345
SAN BERNARDINO COUNTY
