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Licensing details for: 79335

Name: ASHOKKUMAR S. MEHTA DDS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

740 EL CAMINO REAL #200
TUSTIN CA 92780
ORANGE county
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Practice Location

740 EL CAMINO REAL #200
TUSTIN CA 92780
ORANGE county
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Issuance Date

May 31, 2017

Expiration Date

August 31, 2026

Current Date / Time

June 21, 2025
9:53:6 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, ASHOKKUMAR S

License/Registration Type: Dentist License

License Number: 28761 Primary Status: Current - Active

Address :
10900 Los Alamitos Blvd Ste 13
LOS ALAMITOS CA 90720-2354
ORANGE COUNTY

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