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Licensing details for: 104351

Name: JACOBSON, CONOR FRANCIS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1516 Cravens Ave
19
TORRANCE CA 90501-2736
LOS ANGELES county
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Practice Location

560 Pine Ave
LONG BEACH CA 90802-2316
LOS ANGELES county
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Issuance Date

August 21, 2019

Expiration Date

May 31, 2026

Current Date / Time

April 4, 2026
3:14:47 AM

License Relationships

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: Downtown Long Beach Dentistry, Dental Group of Downtown Long Beach Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20386 Primary Status: Current - Active

Address :
560 Pine Avenue
LONG BEACH CA 90802

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