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Licensing details for: 106208

Name: GILBERT, JADE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

21425 Vanowen St
422
CANOGA PARK CA 91303-2749
LOS ANGELES county
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Practice Location

1197 E Los Angeles Ave
Suite E
SIMI VALLEY CA 93065-2868
VENTURA county
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Issuance Date

June 8, 2021

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
4:17:4 PM

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: JADE GILBERT, DDS

License/Registration Type: Additional Office Permit

License Number: 81940 Primary Status: Current - Active

Address :
501 S. REINO ROAD, SUITE G
NEWBURY PARK CA 91320
VENTURA COUNTY

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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: DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.

License/Registration Type: Additional Office Permit

License Number: 81528 Primary Status: Current - Active

Address :
1197 E. Los Angeles Avenue
Suite E
SIMI VALLEY CA 93065
VENTURA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FIRST STREET DENTAL GROUP, DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.

License/Registration Type: Fictitious Name Permit

License Number: 17865 Primary Status: Current - Active

Address :
1197 E. Los Angeles Avenue
Suite E
SIMI VALLEY CA 93065
VENTURA COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PARK PLACE DENTAL GROUP, DENTAL CORPORATION OF JADE GILBERT

License/Registration Type: Fictitious Name Permit

License Number: 18990 Primary Status: Current - Active

Address :
501 S. REINO ROAD, SUITE G
NEWBURY PARK CA 91320

Map

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: FIRST STREET DENTAL GROUP, DENTAL CORPORATION OF KARIM ZAKLAMA, D.D.S.

License/Registration Type: Fictitious Name Permit

License Number: 17865 Primary Status: Current - Active

Address :
1197 E. Los Angeles Avenue
Suite E
SIMI VALLEY CA 93065
VENTURA COUNTY

Map

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: PARK PLACE DENTAL GROUP, DENTAL CORPORATION OF JADE GILBERT

License/Registration Type: Fictitious Name Permit

License Number: 18990 Primary Status: Current - Active

Address :
501 S. REINO ROAD, SUITE G
NEWBURY PARK CA 91320

Map

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