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Licensing details for: 82882

Name: BINDU KANSAGRA, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Mission Viejo Modern Dentistry, Prof. Corp.

Address of Record

23962 Alicia Pkwy, Suite F106
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

May 18, 2026

Expiration Date

October 31, 2027

Current Date / Time

June 5, 2026
10:36:07 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: KANSAGRA, BINDU B

License/Registration Type: Dentist License

License Number: 57691 Primary Status: Current - Active

Address :
14415 Culver Dr
IRVINE CA 92604-0305
ORANGE COUNTY

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