Dental Board of California
Licensing details for: 13719
Name: FAMILY DENTAL CENTER OF MANTECA, DENTAL PRACTICE OF MIRCEA MITU, D.D.S, INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MITU, MIRCEA CATALIN
Address Not Disclosed
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: MITU, MIRCEA CATALIN
License/Registration Type: Dentist License
License Number: 50322 Primary Status: Current - Active
Address :
521 E Center St
MANTECA CA 95336-4719
SAN JOAQUIN COUNTY
