Dental Board of California
Licensing details for: 32650
Name: POISET, MITCHELL BYRON
License Type: Dentist
Primary Status: Current - Active
Address of Record
7930 Frost St
SUITE 101
SAN DIEGO CA 92123-2737
SAN DIEGO county
Map
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: POISET AND ASSOCIATES PEDIATRIC DENTISTRY AND ORTHODONTICS, A DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 13277 Primary Status: Current - Active
Address :
7930 FROST STREET, SUITE 101
SAN DIEGO CA 92123
SAN DIEGO COUNTY
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: POISET, MITCHELL BYRON
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 468 Primary Status: Cancelled
Address :
7930 Frost St
Suite 101
SAN DIEGO CA 92123-2737
SAN DIEGO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: POISET, MITCHELL BYRON
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 410 Primary Status: Current - Active
Address :
7930 Frost St
Suite 101
SAN DIEGO CA 92123-2737
SAN DIEGO COUNTY



