Dental Board of California
Licensing details for: 18510
Name: LA MIRADA DENTAL CENTER DENTAL OFFICE OF DR. MERSAL
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MERSAL, AHMAD
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: MERSAL, AHMAD
License/Registration Type: Dentist License
License Number: 105863 Primary Status: Current - Active
Address :
12252 La Mirada Blvd
LA MIRADA CA 90638-1306
LOS ANGELES COUNTY
