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Licensing details for: 3971

Name: LOS ALAMITOS DENTAL PRACTICE, MAHENDRAKUMAR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

4300 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE county
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Issuance Date

October 30, 2002

Expiration Date

November 30, 2003

Current Date / Time

April 3, 2026
7:08:33 PM

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

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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: PATEL, PARAG S

License/Registration Type: Dentist License

License Number: 38728 Primary Status: Current - Active

Address :
1136 Canyon Dr
UPLAND CA 91784-1011
SAN BERNARDINO COUNTY

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