Dental Board of California
Licensing details for: 3555
Name: WILDWOOD DENTAL GROUP, MEHTA DENTAL
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3972 N WATERMAN AVE
SAN BERNARDINO CA 92404
SAN BERNARDINO county
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: MEHTA, MAHENDRAKUMAR
License/Registration Type: Dentist License
License Number: 28597 Primary Status: Current - Active
Address :
4576 Whittier Blvd
LOS ANGELES CA 90022-2430
LOS ANGELES COUNTY
