Dental Board of California
Licensing details for: 56935
Name: GANDHI KIM, AVANI D
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: GANDHI, AVANI D
Address of Record
5811 PINE AVE. SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PINE SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 11054 Primary Status: Current - Active
Address :
5811 PINE AVENUE
SUITE B
CHINO HILLS CA 91709
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: PINE SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 11054 Primary Status: Current - Active
Address :
5811 PINE AVENUE
SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: GANDHI KIM, AVANI D
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2998 Primary Status: Cancelled
Address :
17202 DE GROOT PLACE
CERRITOS CA 90703
LOS ANGELES COUNTY
