Dental Board of California
Licensing details for: 2035
Name: MESA DENTAL GROUP, JAMES BRODFUEHRER
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
9225 MIRA MESA BLVD
SUITE 212
SAN DIEGO CA 92126
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BRODFUEHRER, JAMES SEAN
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: BRODFUEHRER, JAMES SEAN
License/Registration Type: Dentist License
License Number: 37535 Primary Status: Current - Active
Address :
9225 Mira Mesa Blvd
SUITE 212
SAN DIEGO CA 92126-4820
SAN DIEGO COUNTY
