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Licensing details for: 51507

Name: PANDHOH, SUMEET SWAROOP

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

45 Auto Center Dr
Suite 110
FOOTHILL RANCH CA 92610-2848
ORANGE county
Map

Issuance Date

August 27, 2003

Expiration Date

May 31, 2025

Current Date / Time

June 6, 2025
10:43:1 PM

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: 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

Map

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

Map

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, DDS

License/Registration Type: Additional Office Permit

License Number: 82034 Primary Status: Current - Active

Address :
9842 CHAPMAN AVENUE
GARDEN GROVE CA 92841
ORANGE COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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: 9662 Primary Status: Cancelled

Address :
21750 VALLEY BLVD.
STE. C
CITY OF INDUSTRY CA 91789
LOS ANGELES COUNTY

Map

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, DDS

License/Registration Type: Additional Office Permit

License Number: 82204 Primary Status: Current - Active

Address :
13327 FLORENCE AVENUE
SANTA FE SPRINGS CA 90670

Map

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: LEONG AND PANDHOH DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80395 Primary Status: Cancelled

Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY

Map

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

Map

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 DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81148 Primary Status: Current - Active

Address :
30592 SANTA MARGARITA PKWY. SUITE D
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY

Map

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: DEEPIKA DHAMA, D.D.S., INC.

License/Registration Type: Additional Office Permit

License Number: 81639 Primary Status: Current - Active

Address :
18102 CULVER DRIVE
IRVINE CA 92612
ORANGE COUNTY

Map

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

Map

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

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WALNUT SMILES DENTAL GROUP, PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 7670 Primary Status: Cancelled

Address :
21750 VALLEY BOULEVARD
STE. C
CITY OF INDUSTRY CA 91789
LOS ANGELES COUNTY

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE DENTAL OFFICE OF LAKEWOOD LEONG AND PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15475 Primary Status: Expired

Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CULVER SMILES DENTISTRY DENTAL GROUP, DEEPIKA DHAMA, D.D.S., INC.

License/Registration Type: Fictitious Name Permit

License Number: 18151 Primary Status: Current - Active

Address :
18102 CULVER DRIVE
IRVINE CA 92612
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANAHEIM MODERN DENTISTRY DENTAL GROUP, SUMEET PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16836 Primary Status: Current - Active

Address :
2236 E. Lincoln Avenue
ANAHEIM CA 92806
ORANGE COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RANCHO DENTAL GROUP, REAGAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17056 Primary Status: Current - Active

Address :
30592 SANTA MARGARITA PKWY. SUITE D
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY

Map

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: RANCHO DENTAL GROUP, REAGAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17056 Primary Status: Current - Active

Address :
30592 SANTA MARGARITA PKWY. SUITE D
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY

Map

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

Map

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: CULVER SMILES DENTISTRY DENTAL GROUP, DEEPIKA DHAMA, D.D.S., INC.

License/Registration Type: Fictitious Name Permit

License Number: 18151 Primary Status: Current - Active

Address :
18102 CULVER DRIVE
IRVINE CA 92612
ORANGE COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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

Map

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: THE DENTAL OFFICE OF LAKEWOOD LEONG AND PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15475 Primary Status: Expired

Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY

Map

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

Map

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

Map

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

Map

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

Map

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 DENTAL GROUP, PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 7670 Primary Status: Cancelled

Address :
21750 VALLEY BOULEVARD
STE. C
CITY OF INDUSTRY CA 91789
LOS ANGELES COUNTY

Map

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: ANAHEIM MODERN DENTISTRY DENTAL GROUP, SUMEET PANDHOH DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16836 Primary Status: Current - Active

Address :
2236 E. Lincoln Avenue
ANAHEIM CA 92806
ORANGE COUNTY

Map

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