Dental Board of California
Licensing details for: 15737
Name: INNOVATIVE SMILES, DENTAL OFFICE OF JESMINE BOGHAWALA DDS INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BOGHAWALA, JESMINE AJAYKUMAR
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: BOGHAWALA, JESMINE AJAYKUMAR
License/Registration Type: Dentist License
License Number: 61513 Primary Status: Current - Active
Address :
1042 E Wardlow Rd
LONG BEACH CA 90807-4708
LOS ANGELES COUNTY
