Dental Board of California
Licensing details for: 63478
Name: MERCER, AMANDA ASHLEY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: AMANDA MERCER AND DIANA DO-YABUT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79045 Primary Status: Cancelled
Address :
300 Carlsbad Village Dr
SUITE 203
CARLSBAD CA 92008-2900
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: AMANDA MERCER AND DIANA DO-YABUT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80181 Primary Status: Cancelled
Address :
300 CARLSBAD VILLAGE DRIVE, SUITE 203
CARLSBAD CA 92008
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: CARLSBAD VILLAGE FAIRE DENTISTS DENTAL GROUP AMANDA MERCER AND DIANA DO-YABUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15148 Primary Status: Cancelled
Address :
300 CARLSBAD VILLAGE DRIVE, SUITE 203
CARLSBAD CA 92008
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: CARLSBAD VILLAGE FAIRE DENTISTS DENTAL GROUP AMANDA MERCER AND DIANA DO-YABUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12964 Primary Status: Cancelled
Address :
300 CARLSBAD VILLAGE DRIVE, SUITE 203
CARLSBAD CA 92008
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: MERCER, AMANDA ASHLEY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3551 Primary Status: Current - Active
Address :
32932 Pacific Coast Hwy
Ste 14-306
DANA POINT CA 92629-3466
ORANGE COUNTY
