Dental Board of California
Licensing details for: 17173
Name: MEHTA DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MEHTA, BIRJU ASHOK
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MEHTA, ASHOKKUMAR S
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MEHTA, BIJAL ASHOK
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: 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
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, BIJAL ASHOK
License/Registration Type: Dentist License
License Number: 62138 Primary Status: Current - Active
Address :
200 E Imperial Hwy
BREA CA 92821-4925
ORANGE COUNTY
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, BIRJU ASHOK
License/Registration Type: Dentist License
License Number: 100160 Primary Status: Current - Active
Address :
2379 Skyline Dr
FULLERTON CA 92831-1127
ORANGE COUNTY
