Dental Board of California
Licensing details for: 50382
Name: THOMPSON, MARLENE MAVILLA
License Type: Dentist
Primary Status: Current - Active
Previous Names: THOMPSON, MARLENE MAVILA ❖ THOMPSON, MARLENE M
Address of Record
1001 W San Marcos Blvd
106C
SAN MARCOS CA 92078-4012
SAN DIEGO county
Map
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: MARLENE M. THOMPSON DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10306 Primary Status: Cancelled
Address :
191 N EL CAMINO REAL
ENCINITAS CA 92024
SAN DIEGO 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: MARLENE M. THOMPSON, DDS
License/Registration Type: Additional Office Permit
License Number: 11676 Primary Status: Expired
Address :
1269 W EL NORTE PKWY
ESCONDIDO CA 92026
SAN DIEGO 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: MARLENE M. THOMPSON, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80885 Primary Status: Expired
Address :
1001 W. SAN MARCOS BLVD. #106C
SAN MARCOS CA 92078
SAN DIEGO 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: MARLENE THOMPSON, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10722 Primary Status: Expired
Address :
1001 W. SAN MARCOS BLVD.
STE. 106C
SAN MARCOS CA 92078
SAN DIEGO 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: MARLENE M. THOMPSON, D.D.S, INC.
License/Registration Type: Additional Office Permit
License Number: 80839 Primary Status: Expired
Address :
126 W. EL NORTE PKWY
ESCONDIDO CA 92026
SAN DIEGO 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: NC FAMILY DENTAL, DENTAL OFFICE, MARLENE THOMPSON, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10605 Primary Status: Expired
Address :
988 W. EL NORTE PARKWAY
ESCONDIDO CA 92026
SAN DIEGO 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: AVAH DENTAL OFFICE MARLENE M. THOMPSON D.D.S, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16462 Primary Status: Current - Active
Address :
1001 W SAN MARCOS BLVD #106C
SAN MARCOS CA 92078
SAN DIEGO 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: EL CAMINO SQUARE DENTAL, DENTAL OFFICE, MARLENE M. THOMPSON, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 10607 Primary Status: Cancelled
Address :
191 N. EL CAMINO REAL, STE. 209
ENCINITAS CA 92024
SAN DIEGO 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: BROADWAY SMILES, DENTAL PRACTICE OF DR. MARLENE THOMPSON
License/Registration Type: Fictitious Name Permit
License Number: 11839 Primary Status: Expired
Address :
126 W EL NORTE PKWY
ESCONDIDO CA 92026
SAN DIEGO 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: THOMPSON, MARLENE MAVILLA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 874 Primary Status: Cancelled
Address :
1018 W EL NORTE PKWY
ESCONDIDO CA 92026
SAN DIEGO COUNTY
