Dental Board of California
Licensing details for: 105261
Name: MEKHAEL, YOUSTINA ALBER
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: Azusa Modern Dentistry, Dental Group of Azusa Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20225 Primary Status: Current - Active
Address :
806 N Azusa Ave
AZUSA CA 91702
