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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
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Issuance Date

August 28, 2025

Expiration Date

August 31, 2027

Current Date / Time

December 13, 2025
5:17:32 PM

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

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