Dental Board of California
Licensing details for: 61513
Name: BOGHAWALA, JESMINE AJAYKUMAR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: BOGHAWALA, JESMINE
Address of Record
13017 Artesia Blvd
SUITE D120
CERRITOS CA 90703-1364
LOS ANGELES county
Map
Practice Location
1042 E Wardlow Rd
LONG BEACH CA 90807-4708
LOS ANGELES county
Map
13017 Artesia Blvd
D120
CERRITOS CA 90703-1364
LOS ANGELES county
Map
17300 Yorba Linda Blvd Suite E
YORBA LINDA CA 92886
ORANGE county
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License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: INNOVATIVE SMILES, DENTAL OFFICE OF JESMINE BOGHAWALA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 15737 Primary Status: Expired
Address :
10929 SOUTH STREET STE 110B
CERRITOS CA 90703
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: INNOVATIVE SMILES, DENTAL OFFICE OF JESMINE BOGHAWALA DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 15737 Primary Status: Expired
Address :
10929 SOUTH STREET STE 110B
CERRITOS CA 90703
LOS ANGELES 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: BOGHAWALA, JESMINE AJAYKUMAR
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3908 Primary Status: Current - Active
Address :
1042 E Wardlow Rd
LONG BEACH CA 90807-4708
LOS ANGELES COUNTY
