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Licensing details for: 102852

Name: FRUMP, DEREK J

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

28939 High Sierra Trl
SANTA CLARITA CA 91390-5290
LOS ANGELES county
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Issuance Date

July 23, 2018

Expiration Date

March 31, 2026

Current Date / Time

June 7, 2025
6:42:3 AM

License Relationships

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: FRUMP, DEREK J

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4463 Primary Status: Current - Active

Address :
27560 Newhall Ranch Rd
#309
VALENCIA CA 91355-6047
LOS ANGELES COUNTY

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