Skip to Main Content

Licensing details for: 80406

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

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1130 COFFEE RD STE 7-B
MODESTO CA 95207
STANISLAUS county
Map

Practice Location

1130 COFFEE RD STE 7-B
MODESTO CA 95207
STANISLAUS county
Map

Issuance Date

December 3, 2019

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
2:22:48 AM

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

Map

Important Links