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Licensing details for: 3553

Name: MERCER, JUSTIN WILLIAM

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

3150 CASE RD, BLDG C
PERRIS CA 92570
RIVERSIDE county
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Issuance Date

October 28, 2016

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
8:43:20 AM

License Relationships

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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, JUSTIN WILLIAM

License/Registration Type: Dentist License

License Number: 59375 Primary Status: Current - Active

Address :
3150 Case Rd Bldg C
PERRIS CA 92570-5552
RIVERSIDE COUNTY

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