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Licensing details for: 80405

Name: M. ELDER, D.D.S., A PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

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

6529 INGLEWOOD AVE, STE A-1
STOCKTON CA 95207
SAN JOAQUIN county
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Issuance Date

December 3, 2019

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
3:32:45 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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