Dental Board of California
Licensing details for: 20187
Name: Santa Fe Springs Modern Dentistry, Dental Group of Santa Fe Springs Modern Dentistry, Inc.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
13327 Florence Avenue
SANTA FE SPRINGS CA 90670
Map
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: LATSHIKYAN, ELMIRA AMY
License/Registration Type: Dentist License
License Number: 64596 Primary Status: Current - Active
Address :
130 S Main St
Suite A-D
ORANGE CA 92868-2869
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: KEROLLES, SHADY NABIL SAAD
License/Registration Type: Dentist License
License Number: 109121 Primary Status: Current - Active
Address :
13327 Florence Ave
SANTA FE SPRINGS CA 90670
LOS ANGELES 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: PANDHOH, SUMEET SWAROOP
License/Registration Type: Dentist License
License Number: 51507 Primary Status: Current - Active
Address :
45 Auto Center Dr
Suite 110
FOOTHILL RANCH CA 92610-2848
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: KANSAGRA, BINDU B
License/Registration Type: Dentist License
License Number: 57691 Primary Status: Current - Active
Address :
14415 Culver Dr
IRVINE CA 92604-0305
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: SHETTY, SWATI
License/Registration Type: Dentist License
License Number: 50587 Primary Status: Current - Active
Address :
17160 Colima Rd Ste C-1
HACIENDA HEIGHTS CA 91745-6785
LOS ANGELES COUNTY
