Dental Board of California
Licensing details for: 55789
Name: BHATIA, PRIYADARSHINI
License Type: Dentist
Primary Status: Current - Active
Previous Names: SAMANTA, PRIYADARSHINI
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: JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79933 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD, SUITE A
GLENDALE CA 91204
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: 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: 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
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: 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: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
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: 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: 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: DENTISTS OF GLENDALE DENTAL GROUP JENNIFER HERBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14720 Primary Status: Current - Active
Address :
3900 SAN FERNANDO ROAD., SUITE A
GLENDALE CA 91204
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: HERNANDEZ-ARECHIGA, JUDITH NICOLLE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1042 Primary Status: Current - Active
Address Not Disclosed
