Dental Board of California
Licensing details for: 8178
Name: MEHTA, PATEL & SHAH, A DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
303 S DIAMOND BAR, BL, STE 133
DIAMOND BAR CA 91765
LOS ANGELES county
Map
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: SHAH, RAJESH MADHUSUDAN
License/Registration Type: Dentist License
License Number: 46135 Primary Status: Current - Active
Address :
205 Saint Tropez Ct
PLACENTIA CA 92870-5133
ORANGE COUNTY
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
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: PATEL, RAJUL KANTILAL
License/Registration Type: Dentist License
License Number: 46123 Primary Status: Current - Active
Address :
717 N Placentia Ave
FULLERTON CA 92831-3289
ORANGE COUNTY
