Dental Board of California
Licensing details for: 4745
Name: IMPERIAL DENTAL GROUP, ASHOKKUMAR S MEHTA, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
200 E IMPERIAL HWY
BREA CA 92821
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MEHTA, ASHOKKUMAR S
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: MEHTA, ASHOKKUMAR S
License/Registration Type: Dentist License
License Number: 28761 Primary Status: Current - Active
Address :
10900 Los Alamitos Blvd Ste 13
LOS ALAMITOS CA 90720-2354
ORANGE COUNTY
