Dental Board of California
Licensing details for: 12036
Name: A KIDS DENTIST DENTAL GROUP OF DR. SHAH AND ASSOCIATES
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
6552 BOLSA AVENUE, SUITE B
HUNTINGTON BEACH CA 92647
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHAH, SHALINI M
Address Not Disclosed
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: SHAH, SHALINI M
License/Registration Type: Dentist License
License Number: 51304 Primary Status: Current - Active
Address :
5942 Edinger Ave Ste 101
HUNTINGTON BEACH CA 92649-1774
ORANGE COUNTY
