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Licensing details for: 16839

Name: MEHTA DENTAL GROUP, PRACTICE OF ASHOKKUMAR S. MEHTA D.D.S., INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

330 N. STATE COLLEGE BLVD, SUITE 105
ANAHEIM CA 92806
ORANGE county
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Practice Location

330 N. STATE COLLEGE BLVD, SUITE 105
ANAHEIM CA 92806
ORANGE county
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Issuance Date

October 18, 2021

Expiration Date

August 31, 2026

Current Date / Time

December 13, 2025
7:55:6 AM

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, 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

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