Dental Board of California
Licensing details for: 19791
Name: AGOURA HILLS ORAL SURGERY, DENTAL GROUP OF M. ELDER, D.D.S., APC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
30200 Agoura Road, Suite 100
AGOURA HILLS CA 91301
LOS ANGELES county
Map
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



