Dental Board of California
Licensing details for: 4377
Name: CAPISTRANO DENTISTRY, DENTAL OFFICE OF GHASSAN MEHTAR, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
32281 CAMINO CAPISTRANO, #101-C
SAN JUAN CAPISTRANO CA 92675
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MEHTAR, GHASSAN
Address Not Disclosed
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: MEHTAR, GHASSAN
License/Registration Type: Dentist License
License Number: 44215 Primary Status: Current - Active
Address :
32241 Camino Capistrano
A-100
SAN JUAN CAPISTRANO CA 92675-3708
ORANGE COUNTY
