Dental Board of California
Licensing details for: 4134
Name: DAVIS, EDWARD MITCHELL JR
License Type: Oral Conscious Sedation
Primary Status: Expired
Specialty: Adult
Previous Names: DAVIS, EDWARD MITCHELL
Address of Record
300 Carlsbad Village Dr
Suite 203
CARLSBAD CA 92008-2900
SAN DIEGO county
Map
License Relationships
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: DAVIS, EDWARD MITCHELL JR
License/Registration Type: Dentist License
License Number: 101113 Primary Status: Current - Active
Address :
300 Carlsbad Village Dr
203
CARLSBAD CA 92008-2900
SAN DIEGO COUNTY
