Dental Board of California
Licensing details for: 101113
Name: DAVIS, EDWARD MITCHELL JR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: DAVIS, EDWARD MITCHELL
Address of Record
300 Carlsbad Village Dr
203
CARLSBAD CA 92008-2900
SAN DIEGO county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: DAVIS, EDWARD MITCHELL JR
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4134 Primary Status: Expired
Address :
300 Carlsbad Village Dr
Suite 203
CARLSBAD CA 92008-2900
SAN DIEGO COUNTY
