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Licensing details for: 80996

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

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

330 N. STATE COLLEGE BLVD #105
ANAHEIM CA 92806
ORANGE county
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Practice Location

330 N. STATE COLLEGE BLVD #105
ANAHEIM CA 92806
ORANGE county
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Issuance Date

July 14, 2021

Expiration Date

August 31, 2026

Current Date / Time

June 21, 2025
9:54:10 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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