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Licensing details for: 11425

Name: M. ELDER, D.D.S., A.P.C.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: M. ELDER, DDS, APC

Address of Record

6529 INGLEWOOD AVE A-1
STOCKTON CA 95207
SAN JOAQUIN county
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Practice Location

6529 INGLEWOOD AVE A-1
NOVATO CA 95207
MARIN county
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Issuance Date

May 6, 2014

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
2:7:47 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: ELDER, MAHR F

License/Registration Type: Dentist License

License Number: 46586 Primary Status: Current - Active

Address :
1805 Novato Blvd
Suite 1
NOVATO CA 94947-2934
MARIN COUNTY

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