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Licensing details for: 20244

Name: Anaheim Hills Dental Group

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5731 E Santa Ana Canyon Rd, Ste A
ANAHEIM CA 92807
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Issuance Date

February 5, 2026

Expiration Date

February 29, 2028

Current Date / Time

April 2, 2026
1:12:42 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: KO, ANDY YOUNG

License/Registration Type: Dentist License

License Number: 64569 Primary Status: Current - Active

Address :
1178 Innisfree Ct
FULLERTON CA 92831-1064
ORANGE COUNTY

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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

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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

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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: AMIN, SUMMAR SAMI

License/Registration Type: Dentist License

License Number: 105047 Primary Status: Current - Active

Address :
609 S Iron Horse Ln
ANAHEIM CA 92807-4843
ORANGE COUNTY

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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

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