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Licensing details for: 7894

Name: VACAVILLE ORAL SURGERY GROUP, DENTAL GROUP OF MAHR ELDER DDS, A P

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: VACAVILLE ORAL SURGERY GROUP

Address of Record

301 ALAMO DRIVE #E
VACAVILLE CA 95688
SOLANO county
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Practice Location

301 ALAMO DRIVE #E
VACAVILLE CA 95688-4246
SOLANO county
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Issuance Date

December 15, 2008

Expiration Date

January 31, 2019

Current Date / Time

June 6, 2025
2:52:29 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELDER, MAHR F

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: 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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