Dental Board of California
Licensing details for: 59375
Name: MERCER, JUSTIN WILLIAM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3150 Case Rd Bldg C
PERRIS CA 92570-5552
RIVERSIDE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79868 Primary Status: Cancelled
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BUKI AJAYI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81522 Primary Status: Current - Active
Address :
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JUSTIN MERCER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81266 Primary Status: Current - Active
Address :
2710 VIA DE LA VALLE, SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80805 Primary Status: Cancelled
Address :
2710 VIA DE LA VELLE, SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MYLAD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81681 Primary Status: Current - Active
Address :
24119 HEMLOCK AVENUE, SUITE 108
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JASON ANTONIO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81182 Primary Status: Current - Active
Address :
28080 CLINTON KEITH ROAD, SUITE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DEWENTER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81673 Primary Status: Current - Active
Address :
67760 E. PALM CANYON DRIVE
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80992 Primary Status: Current - Active
Address :
3150 CASE RD, BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81523 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JUSTIN MERCER, DDS
License/Registration Type: Additional Office Permit
License Number: 82214 Primary Status: Current - Active
Address :
460 N MCKINLEY ST. STE. 101
CORONA CA 92879
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81198 Primary Status: Current - Active
Address :
3150 CASE ROAD, BUIDLING C
PERRIS CA 92570
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80731 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79594 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, DENTAL CORPORATION OF DEEPIKA DHAMA
License/Registration Type: Fictitious Name Permit
License Number: 18965 Primary Status: Current - Active
Address :
131 W. ONTARIO AVENUE, SUITE 102
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM CANYON SMILES DENTISTRY DENTAL GROUP, DEWENTER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17996 Primary Status: Current - Active
Address :
67760 E. PALM CANYON DRIVE
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP, BUKI, AJAYI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17825 Primary Status: Current - Active
Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16657 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIVERSIDE MODERN DENTISTRY DENTAL GROUP, MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17695 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORCO MODERN DENTISTRY DENTAL GROUP, SHAIKH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19112 Primary Status: Current - Active
Address :
1411 HAMNER AVENUE, SUITE 106
NORCO CA 92860
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AN PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15215 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PROMENADE DENTISTS DENTAL GROUP, AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16157 Primary Status: Cancelled
Address :
2710 VIA DE LA VALLE., SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PROMADE DENTISTS DENTAL GROUP, JUSTIN MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17264 Primary Status: Current - Active
Address :
2710 VIA DE LA VALLE, SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PERRIS KIDS' DENTIST DENTAL GROUP, JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17147 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING G-2
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MORENO VALLEY MODERN DENTISTRY DENTAL GROUP, MYLAD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18279 Primary Status: Current - Active
Address :
24119 HEMLOCK AVENUE, SUITE 108
MORENO VALLEY CA 92557
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16162 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14059 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE 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: CROSSING DENTAL GROUP MERCER AN PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15215 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE 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: PROMENADE DENTISTS DENTAL GROUP, AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16157 Primary Status: Cancelled
Address :
2710 VIA DE LA VALLE., SUITE B250
DEL MAR CA 92014
SAN DIEGO 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: RIVERSIDE MODERN DENTISTRY DENTAL GROUP, MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17695 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
RIVERSIDE 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: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16162 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE 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: GATEWAY DENTAL GROUP, BUKI, AJAYI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17825 Primary Status: Current - Active
Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE 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: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14059 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE 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: PROMADE DENTISTS DENTAL GROUP, JUSTIN MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17264 Primary Status: Current - Active
Address :
2710 VIA DE LA VALLE, SUITE B250
DEL MAR CA 92014
SAN DIEGO 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: MAIN STREET DENTAL GROUP, DENTAL CORPORATION OF DEEPIKA DHAMA
License/Registration Type: Fictitious Name Permit
License Number: 18965 Primary Status: Current - Active
Address :
131 W. ONTARIO AVENUE, SUITE 102
CORONA CA 92882
RIVERSIDE 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: PALM CANYON SMILES DENTISTRY DENTAL GROUP, DEWENTER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17996 Primary Status: Current - Active
Address :
67760 E. PALM CANYON DRIVE
CATHEDRAL CITY CA 92234
RIVERSIDE 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: CROSSING DENTAL GROUP, MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16657 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE 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: NORCO MODERN DENTISTRY DENTAL GROUP, SHAIKH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19112 Primary Status: Current - Active
Address :
1411 HAMNER AVENUE, SUITE 106
NORCO CA 92860
RIVERSIDE 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: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE 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: PERRIS KIDS' DENTIST DENTAL GROUP, JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17147 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING G-2
PERRIS CA 92570
RIVERSIDE 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: CROSSING DENTAL GROUP AND ORTHODONTICS, MERCER AND PHAM DENTAL CO
License/Registration Type: Fictitious Name Permit
License Number: 10751 Primary Status: Cancelled
Address :
3150 CASE ROAD BLDG C
PERRIS CA 92570
RIVERSIDE 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: MORENO VALLEY MODERN DENTISTRY DENTAL GROUP, MYLAD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18279 Primary Status: Current - Active
Address :
24119 HEMLOCK AVENUE, SUITE 108
MORENO VALLEY CA 92557
RIVERSIDE 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: MERCER, JUSTIN WILLIAM
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3553 Primary Status: Current - Active
Address :
3150 CASE RD, BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
