Dental Board of California
Licensing details for: 11522
Name: FAIRFIELD ORAL SURGERY AND IMPLANTOLOGY, DENTAL GROUP OF M. ELDER
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: FAIRFIELD ORAL SURGERY AND IMPLANTOLOGY DENTAL GROUP OF M. ELDER, DDS, APC
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
