Dental Board of California
Licensing details for: 6894
Name: BAYSIDE DENTAL CARE, DENTAL OFFICE OF MEHTA PANDYA PROF. DENTAL C
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: BAYSIDE DENTAL CARE
Address of Record
1884 1/2 S. PACIFIC COAST HWY.
REDONDO BEACH CA 90277
LOS ANGELES 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, MAYUR BHARATKUMAR
License/Registration Type: Dentist License
License Number: 50491 Primary Status: Current - Active
Address :
14466 Main St
SUITE B 107
HESPERIA CA 92345-4664
LOS ANGELES COUNTY
