Dental Board of California
Licensing details for: 50587
Name: SHETTY, SWATI
License Type: Dentist
Primary Status: Current - Active
Previous Names: CHUDASAMA, SWATI
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: ABDESHAHIAN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80306 Primary Status: Current - Active
Address :
12919 BEACH BLVD
STANTON CA 90680
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: BRIAN NGUYEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81463 Primary Status: Current - Active
Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
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: SCOTT AND KANSAGRA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80728 Primary Status: Current - Active
Address :
5685 ALTON PKWY.
IRVINE CA 92618
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: BHATIA AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79977 Primary Status: Current - Active
Address :
1573 S HARBOR BLVD
FULLERTON CA 92832
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: SUMEET PANDHOH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81033 Primary Status: Current - Active
Address :
2236 E. LINCOLN AVENUE
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: PEGGY CHU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81448 Primary Status: Current - Active
Address :
2841 S. DIAMOND BAR BLVD., SUITE B
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: SWATI SHETTY, DDS
License/Registration Type: Additional Office Permit
License Number: 82028 Primary Status: Current - Active
Address :
9842 CHAPMAN AVENUE
GARDEN GROVE CA 92841
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: BAKY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81688 Primary Status: Current - Active
Address :
6945 WARNER AVENUE
HUNTINGTON BEACH CA 92647
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: KRAMER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81525 Primary Status: Current - Active
Address :
403 W. IMPERIAL HWY., UNIT 102
BREA CA 92821
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: SWATI SHETTY, DDS
License/Registration Type: Additional Office Permit
License Number: 82207 Primary Status: Current - Active
Address :
13327 FLORENCE AVENUE
SANTA FE SPRINGS CA 90670
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: SHETTY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79446 Primary Status: Current - Active
Address :
17188 E COLIMA RD STE B
HACIENDA HEIGHTS CA 91745
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: REAGAN AND PANDHOH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81296 Primary Status: Current - Active
Address :
45 AUTO CENTER DR SUITE 110
FOOTHILL RANCH CA 92610
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: VANSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81408 Primary Status: Current - Active
Address :
15160 KENSINGTON PARK DRIVE SUITE 610
TUSTIN CA 92782
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: LAKHANI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81411 Primary Status: Current - Active
Address :
26532 MOULTON PARKWAY
LAGUNA HILLS CA 92653
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: PANDHOH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81450 Primary Status: Current - Active
Address :
21750 VALLEY BLVD., SUITE C
WALNUT CA 91789
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: NAM DANG, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79465 Primary Status: Current - Active
Address :
18432 YORBA LINDA BLVD STE D
YORBA LINDA CA 92886
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: MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81692 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
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: TAHERIAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80303 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
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: VANSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79515 Primary Status: Cancelled
Address :
15160 KENSINGTON PARK DR STE 610
TUSTIN CA 92782
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: SWATI SHETTY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79692 Primary Status: Current - Active
Address :
7540 ORANGETHORPE AVE, STE A1
BUENA PARK CA 90621
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: NAM DANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79448 Primary Status: Current - Active
Address :
16691 YORBA LINDA BLVD
YORBA LINDA CA 92886
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: CHRISTINA KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81410 Primary Status: Current - Active
Address :
11806 WHITTIER BLVD., SUITE E
WHITTIER CA 90601
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: TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80165 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
LAGUNA NIGUEL CA 92677
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: BINDU KANSAGRA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80091 Primary Status: Cancelled
Address :
5685 ALTON PKWY.
IRVINE CA 92618
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: BHATIA AND SHETTY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80184 Primary Status: Current - Active
Address :
460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
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: MAGAR AND SMITH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79820 Primary Status: Current - Active
Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE SELECT HACIENDA HEIGHTS DENTAL OFFICE, SHETTY DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 7493 Primary Status: Cancelled
Address :
17188 E. COLIMA ROAD
STE. B
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STANTON SMILE DENTISTRY DENTAL GROUP ABDESHAHIAN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15369 Primary Status: Current - Active
Address :
12919 BEACH BLVD
STANTON CA 90680
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAGUNA NIGUEL DENTAL GROUP TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15173 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
SAN MARCOS CA 92069
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF HUNTINGTON BEACH DENTAL GROUP, BAKY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18305 Primary Status: Current - Active
Address :
6945 WARNER AVENUE
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF LAGUNA HILLS DENTAL GROUP, LAKHANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17611 Primary Status: Current - Active
Address :
26532 MOULTON PARKWAY
LAGUNA HILLS CA 92653
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONROVIA MODERN DENTISTRY DENTAL GROUP BHATIA AND SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15151 Primary Status: Current - Active
Address :
460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: 17TH STREET MODERN DENTISTRY DENTAL GROUP CLINT WALKER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14412 Primary Status: Current - Active
Address :
270 E. 17TH STREET, STE 15
COSTA MESA CA 92627
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: YORBA LINDA SMILES DENTISTRY DENTAL GROUP, NAM DANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13779 Primary Status: Current - Active
Address :
16691 YORBA LINDA BLVD
YORBA LINDA CA 92886
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BREA MODERN DENTISTRY DENTAL GROUP, KRAMER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17852 Primary Status: Current - Active
Address :
403 W. IMPERIAL HWY., UNIT 102
BREA CA 92821
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH COAST SMILES DENTISTRY DENTAL GROUP, MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18325 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TUSTIN LEGACY DENTISTRY DENTAL GROUP, VANSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17616 Primary Status: Current - Active
Address :
15160 KENSINGTON PARK DRIVE SUITE 610
TUSTIN CA 92782
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18731 Primary Status: Current - Active
Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TOWNE CENTRE DENTAL GROUP, REAGAN AND PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17361 Primary Status: Current - Active
Address :
45 AUTO CENTER DR SUITE 110
FOOTHILL RANCH CA 92610
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DIAMOND BAR SMILES DENTAL GROUP, PEGGY CHU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17656 Primary Status: Current - Active
Address :
2841 S. DIAMOND BAR BLVD., SUITE B
DIAMOND BAR CA 91765
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GARDEN GROVE MODERN DENTISTRY DENTAL GROUP, DENTAL CORPORATION OF MINH NGUYEN
License/Registration Type: Fictitious Name Permit
License Number: 19149 Primary Status: Current - Active
Address :
9842 CHAPMAN AVENUE
GARDEN GROVE CA 92841
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRI-CITY SMILES DENTAL GROUP, SHETTY DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 8490 Primary Status: Cancelled
Address :
17188 E. COLIMA ROAD
STE. B
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE SELECT HACIENDA HEIGHTS DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 5824 Primary Status: Cancelled
Address :
17188 E COLIMA RD, STE B
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TRI-CITY SMILES DENTISTRY DENTAL GROUP, SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13778 Primary Status: Current - Active
Address :
17188 E COLIMA RD STE B
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAGUNA BEACH DENTAL GROUP TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15367 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF BUENA PARK DENTAL GROUP, SWATI SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14251 Primary Status: Current - Active
Address :
7540 ORANGETHORPE AVE STE A-1
BUENA PARK CA 90621
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF IRVINE DENTAL GROUP, SCOTT AND KANSAGRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16156 Primary Status: Current - Active
Address :
5685 ALTON PKWY.
IRVINE CA 92618
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WALNUT SMILES DENTISTRY DENTAL GROUP, PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17655 Primary Status: Current - Active
Address :
21750 VALLEY BLVD., SUITE C
WALNUT CA 91789
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF DANA POINT DENTAL GROUP, TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19166 Primary Status: Current - Active
Address :
33611 DEL OBISPO STREET, SUITE E
DANA POINT CA 92629
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HB KIDS' DENTISTRY DENTAL GROUP MAGAR AND SMITH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14496 Primary Status: Current - Active
Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FULLERTON DENTAL GROUP BHATIA AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14829 Primary Status: Current - Active
Address :
1573 S HARBOR BLVD
FULLERTON CA 92832
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WHITTIER MODERN DENTISTRY DENTAL GROUP, CHRISTINA KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17613 Primary Status: Current - Active
Address :
11806 WHITTIER BLVD., SUITE E
WHITTIER CA 90601
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LOS OLIVOS DENTISTRY DENTAL GROUP, KEVIN SU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16924 Primary Status: Current - Active
Address :
8561 Irvine Center Drive
IRVINE CA 92618
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CYPRESS DENTIST OFFICE DENTAL GROUP, BRIAN NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17268 Primary Status: Current - Active
Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORANGE MODERN DENTISTRY DENTAL GROUP, ELMIRA LATSHIKYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19111 Primary Status: Current - Active
Address :
130 S. MAIN STREET, SUITE A
ORANGE CA 92868
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: YORBA LINDA DENTAL GROUP, NAM DANG, D.D.S.,INC.
License/Registration Type: Fictitious Name Permit
License Number: 13770 Primary Status: Current - Active
Address :
18432 YORBA LINDA BLVD STE D
YORBA LINDA CA 92886
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF IRVINE DENTAL GROUP BINDU KANSAGRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15034 Primary Status: Cancelled
Address :
5685 ALTON PKWY
IRVINE CA 92618
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: MONROVIA MODERN DENTISTRY DENTAL GROUP BHATIA AND SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15151 Primary Status: Current - Active
Address :
460 W. HUNTINGTON DRIVE
MONROVIA CA 91016
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: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18731 Primary Status: Current - Active
Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
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: SMILE SELECT HACIENDA HEIGHTS DENTAL OFFICE,
License/Registration Type: Fictitious Name Permit
License Number: 5824 Primary Status: Cancelled
Address :
17188 E COLIMA RD, STE B
HACIENDA HEIGHTS CA 91745
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: DENTISTS OF BUENA PARK DENTAL GROUP, SWATI SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14251 Primary Status: Current - Active
Address :
7540 ORANGETHORPE AVE STE A-1
BUENA PARK CA 90621
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: WALNUT SMILES DENTISTRY DENTAL GROUP, PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17655 Primary Status: Current - Active
Address :
21750 VALLEY BLVD., SUITE C
WALNUT CA 91789
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: LOS OLIVOS DENTISTRY DENTAL GROUP, KEVIN SU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16924 Primary Status: Current - Active
Address :
8561 Irvine Center Drive
IRVINE CA 92618
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: 17TH STREET MODERN DENTISTRY DENTAL GROUP CLINT WALKER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14412 Primary Status: Current - Active
Address :
270 E. 17TH STREET, STE 15
COSTA MESA CA 92627
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: LAGUNA BEACH DENTAL GROUP TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15367 Primary Status: Cancelled
Address :
31796 S. COAST HIGHWAY
LAGUNA BEACH CA 92651
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: YORBA LINDA SMILES DENTISTRY DENTAL GROUP, NAM DANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13779 Primary Status: Current - Active
Address :
16691 YORBA LINDA BLVD
YORBA LINDA CA 92886
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: GARDEN GROVE MODERN DENTISTRY DENTAL GROUP, DENTAL CORPORATION OF MINH NGUYEN
License/Registration Type: Fictitious Name Permit
License Number: 19149 Primary Status: Current - Active
Address :
9842 CHAPMAN AVENUE
GARDEN GROVE CA 92841
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: STANTON SMILE DENTISTRY DENTAL GROUP ABDESHAHIAN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15369 Primary Status: Current - Active
Address :
12919 BEACH BLVD
STANTON CA 90680
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: DIAMOND BAR SMILES DENTAL GROUP, PEGGY CHU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17656 Primary Status: Current - Active
Address :
2841 S. DIAMOND BAR BLVD., SUITE B
DIAMOND BAR CA 91765
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: TRI-CITY SMILES DENTAL GROUP, SHETTY DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 8490 Primary Status: Cancelled
Address :
17188 E. COLIMA ROAD
STE. B
HACIENDA HEIGHTS CA 91745
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: SMILE SELECT HACIENDA HEIGHTS DENTAL OFFICE, SHETTY DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 7493 Primary Status: Cancelled
Address :
17188 E. COLIMA ROAD
STE. B
HACIENDA HEIGHTS CA 91745
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: DENTISTS OF IRVINE DENTAL GROUP BINDU KANSAGRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15034 Primary Status: Cancelled
Address :
5685 ALTON PKWY
IRVINE CA 92618
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: TOWNE CENTRE DENTAL GROUP, REAGAN AND PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17361 Primary Status: Current - Active
Address :
45 AUTO CENTER DR SUITE 110
FOOTHILL RANCH CA 92610
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: TUSTIN LEGACY DENTISTRY DENTAL GROUP, VANSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17616 Primary Status: Current - Active
Address :
15160 KENSINGTON PARK DRIVE SUITE 610
TUSTIN CA 92782
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: TRI-CITY SMILES DENTISTRY DENTAL GROUP, SHETTY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13778 Primary Status: Current - Active
Address :
17188 E COLIMA RD STE B
HACIENDA HEIGHTS CA 91745
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: BREA MODERN DENTISTRY DENTAL GROUP, KRAMER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17852 Primary Status: Current - Active
Address :
403 W. IMPERIAL HWY., UNIT 102
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: DENTISTS OF LAGUNA HILLS DENTAL GROUP, LAKHANI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17611 Primary Status: Current - Active
Address :
26532 MOULTON PARKWAY
LAGUNA HILLS CA 92653
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: DENTISTS OF DANA POINT DENTAL GROUP, TAHERIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19166 Primary Status: Current - Active
Address :
33611 DEL OBISPO STREET, SUITE E
DANA POINT CA 92629
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: HB KIDS' DENTISTRY DENTAL GROUP MAGAR AND SMITH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14496 Primary Status: Current - Active
Address :
9842 ADAMS AVE, STE 101
HUNTINGTON BEACH CA 92646
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: CYPRESS DENTIST OFFICE DENTAL GROUP, BRIAN NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17268 Primary Status: Current - Active
Address :
6832 KATELLA AVENUE
CYPRESS CA 90630
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: ORANGE MODERN DENTISTRY DENTAL GROUP, ELMIRA LATSHIKYAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19111 Primary Status: Current - Active
Address :
130 S. MAIN STREET, SUITE A
ORANGE CA 92868
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: DENTISTS OF HUNTINGTON BEACH DENTAL GROUP, BAKY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18305 Primary Status: Current - Active
Address :
6945 WARNER AVENUE
HUNTINGTON BEACH CA 92647
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: SOUTH COAST SMILES DENTISTRY DENTAL GROUP, MARTHA ATALLA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18325 Primary Status: Current - Active
Address :
3901 BRISTOL STREET
SANTA ANA CA 92704
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: LAGUNA NIGUEL DENTAL GROUP TAHERIAN AND SHARIFIAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15173 Primary Status: Current - Active
Address :
27901 LA PAZ ROAD, SUITE D
SAN MARCOS CA 92069
SAN DIEGO 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: FULLERTON DENTAL GROUP BHATIA AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14829 Primary Status: Current - Active
Address :
1573 S HARBOR BLVD
FULLERTON CA 92832
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: YORBA LINDA DENTAL GROUP, NAM DANG, D.D.S.,INC.
License/Registration Type: Fictitious Name Permit
License Number: 13770 Primary Status: Current - Active
Address :
18432 YORBA LINDA BLVD STE D
YORBA LINDA CA 92886
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: DENTISTS OF IRVINE DENTAL GROUP, SCOTT AND KANSAGRA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16156 Primary Status: Current - Active
Address :
5685 ALTON PKWY.
IRVINE CA 92618
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: WHITTIER MODERN DENTISTRY DENTAL GROUP, CHRISTINA KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17613 Primary Status: Current - Active
Address :
11806 WHITTIER BLVD., SUITE E
WHITTIER CA 90601
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Nathani, Manish
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1043 Primary Status: Current - Inactive
Address Not Disclosed
