Dental Board of California
Licensing details for: 16968
Name: LAGUNA PREMIER DENTAL DENTAL OFFICE OF DR. AMAR MAHDI INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: LAGUNA PREMIER DENTAL DENTAL OFFICE OF DR. AMAR MAHDI ❖ LAGUNA PREMIER DENTAL, DENTAL OFFICE OF DR. AMAR MAHDI
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MAHDI, AMAR M
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: MAHDI, AMAR M
License/Registration Type: Dentist License
License Number: 65319 Primary Status: Current - Active
Address :
9141 E Stockton Blvd
230
9141 E. STOCKTON BLVD STE230
ELK GROVE CA 95624-9502
SACRAMENTO COUNTY
