Dental Board of California
Licensing details for: 11682
Name: MAPLE DENTAL, DENTAL OFFICE OF MAYUR MEHTA DDS INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MEHTA, MAYUR BHARATKUMAR
License/Registration Type: Dentist License
License Number: 50491 Primary Status: Current - Active
Address :
14466 Main St
SUITE B 107
HESPERIA CA 92345-4664
LOS ANGELES COUNTY
