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Licensing details for: 11449

Name: MAYUR MEHTA DDS INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

14466 MAIN STREET STE B 107
HESPERIA CA 92345
SAN BERNARDINO county
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Practice Location

14466 MAIN STREET STE B 107
HESPERIA CA 92345
SAN BERNARDINO county
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Issuance Date

June 10, 2014

Expiration Date

June 30, 2016

Current Date / Time

June 13, 2026
5:52:38 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: MEHTA, MAYUR BHARATKUMAR

License/Registration Type: Dentist License

License Number: 50491 Primary Status: Current - Active

Address :
14466 Main St
SUITE B 107
HESPERIA CA 92345-4664
LOS ANGELES COUNTY

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