Dental Board of California
Licensing details for: 20655
Name: Whittier Modern Dentistry Dental Group of Whittier Modern Dentistry, Prof. Corp.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Whittier Modern Dentistry, Prof. Corp.
Address of Record
11806 Whittier Blvd., Suite E
WHITTIER CA 90601
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: 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
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: ALVISUA, LAURA BEATRIZ
License/Registration Type: Dentist License
License Number: 109305 Primary Status: Current - Active
Address :
11806 Whittier Blvd Ste E
WHITTIER CA 90601-4622
LOS ANGELES COUNTY
