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Licensing details for: 4284

Name: BAY DENTAL CENTER, DENTAL OFFICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

16910 SO HAWTHORNE BLVD
LAWNDALE CA 90260
LOS ANGELES county
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Issuance Date

May 29, 2003

Expiration Date

May 31, 2006

Current Date / Time

November 3, 2025
7:9:14 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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