Dental Board of California
Licensing details for: 100514
Name: THOMAS, TREVOR JAMAL
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: Thomas, Trevor Jamal
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80420 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: DOUGLAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81416 Primary Status: Cancelled
Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79868 Primary Status: Cancelled
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80416 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TREVOR J. THOMAS, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 81164 Primary Status: Cancelled
Address :
12050 VENTURA BLVD., SUITE C-101
STUDIO CITY CA 91604
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AMBER GILBERT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81481 Primary Status: Current - Active
Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CORONA HILLS MODERN DENTISTRY DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15537 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF CANOGA PARK DENTAL GROUP, AMBER GILBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17740 Primary Status: Current - Active
Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NOHO MODERN DENTISTRY DENTAL GROUP, DOUGLAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17633 Primary Status: Current - Active
Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15554 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CORONA HILLS MODERN DENTISTRY DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15537 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: NOHO MODERN DENTISTRY DENTAL GROUP, DOUGLAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17633 Primary Status: Current - Active
Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF CANOGA PARK DENTAL GROUP, AMBER GILBERT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17740 Primary Status: Current - Active
Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15554 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: THOMAS, TREVOR JAMAL
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3693 Primary Status: Current - Active
Address :
11980 San Vicente Blvd
Ste. 507
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Morejon Mejia, Gloria Melissa
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 1089 Primary Status: Current - Active
Address Not Disclosed
