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Licensing details for: 54552

Name: OWYOUNG, JEREMY BRENT

License Type: Dentist

Primary Status: Current - Active

Address of Record

25422 Trabuco Road
Suite 105 #336
LAKE FOREST CA 92630
ORANGE county
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Practice Location

1131 E Main St
#110
TUSTIN CA 92780-4416
ORANGE county
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15785 Laguna Canyon Rd
Ste 210
IRVINE CA 92618-3165
ORANGE county
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1984 Railroad Ave
LIVERMORE CA 94550-3107
ALAMEDA county
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24407 Calle De La Louisa
Ste 200
LAGUNA HILLS CA 92653-3650
ORANGE county
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25596 Alicia Pkwy
LAGUNA HILLS CA 92653-5309
ORANGE county
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27184 Ortega Hwy
Suite 208
SAN JUAN CAPISTRANO CA 92675-5705
ORANGE county
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4530 Dublin Blvd
DUBLIN CA 94568-7564
ALAMEDA county
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5010 Campus Dr
suite 130
NEWPORT BEACH CA 92660-2120
ORANGE county
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Issuance Date

July 11, 2006

Expiration Date

June 30, 2026

Current Date / Time

July 16, 2025
6:3:1 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: OWYOUNG, JEREMY BRENT

License/Registration Type: Conscious Sedation Permit

License Number: 690 Primary Status: Renewal Denied

Address :
304 S OVERLOOK DRIVE
SAN RAMON CA 94582
CONTRA COSTA COUNTY

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