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Licensing details for: 80686

Name: MAHENDRAKUMAR MEHTA, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3167 N. GAREY AVE
POMONA CA 91767-1366
LOS ANGELES county
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Practice Location

3167 N. GAREY AVE
POMONA CA 91767-1366
LOS ANGELES county
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Issuance Date

October 6, 2020

Expiration Date

May 31, 2024

Current Date / Time

November 3, 2025
7:9:52 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, MAHENDRAKUMAR

License/Registration Type: Dentist License

License Number: 28597 Primary Status: Current - Active

Address :
4576 Whittier Blvd
LOS ANGELES CA 90022-2430
LOS ANGELES COUNTY

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