Dental Board of California
Licensing details for: 105863
Name: MERSAL, AHMAD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA MIRADA DENTAL CENTER DENTAL OFFICE OF DR. MERSAL
License/Registration Type: Fictitious Name Permit
License Number: 18510 Primary Status: Current - Active
Address :
12252 LA MIRADA BLVD
LA MIRADA CA 90638
LOS ANGELES COUNTY
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: LA MIRADA DENTAL CENTER DENTAL OFFICE OF DR. MERSAL
License/Registration Type: Fictitious Name Permit
License Number: 18510 Primary Status: Current - Active
Address :
12252 LA MIRADA BLVD
LA MIRADA CA 90638
LOS ANGELES COUNTY
