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Licensing details for: 8169

Name: ASHOKKUMAR SHANTILAL MEHTA, DDS, INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

9514 WHITTIER BLVD
PICO RIVERA CA 90660
LOS ANGELES county
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Issuance Date

January 7, 2004

Expiration Date

August 31, 2024

Current Date / Time

June 21, 2025
9:49:10 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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