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Licensing details for: 3551

Name: MERCER, AMANDA ASHLEY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

32932 Pacific Coast Hwy
Ste 14-306
DANA POINT CA 92629-3466
ORANGE county
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Issuance Date

October 24, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
3:46:7 AM

License Relationships

FNP Owners

License/Registration Role: Owners

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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: MERCER, AMANDA ASHLEY

License/Registration Type: Dentist License

License Number: 63478 Primary Status: Current - Active

Address :
3150 Case Rd
Bldg C
PERRIS CA 92570-5551
RIVERSIDE COUNTY

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