Dental Board of California
Licensing details for: 55703
Name: WESTERNOFF, TRENT HOWARD
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Previous Names: WESTERNOFF, TRENT
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: TRENT WESTERNOFF, DDS
License/Registration Type: Additional Office Permit
License Number: 80593 Primary Status: Expired
Address :
604 NORTH SEPULVEDA
MANHATTAN BEACH CA 90266
LOS ANGELES 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: TRENT WESTERNOFF, DDS
License/Registration Type: Additional Office Permit
License Number: 82858 Primary Status: Current - Active
Address :
8540 S Sepulveda Blvd Ste 1206
LOS ANGELES CA 90045-3819
LOS ANGELES 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: TRENT WESTERNOFF, DDS
License/Registration Type: Additional Office Permit
License Number: 82859 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
LOS ANGELES 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: ORAL SURGERY PARTNERS; DENTAL PRACTICE OF TRENT WESTERNOFF MDM MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 15838 Primary Status: Expired
Address :
1706 S. ELENA AVENUE SUITE A
REDONDO BEACH CA 90277
LOS ANGELES 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: ORAL SURGERY PARTNERS MANHATTAN BY TMJ WESTERNOFF DENTAL GROUP, P.C.
License/Registration Type: Fictitious Name Permit
License Number: 20589 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
LOS ANGELES 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: ORAL SURGERY PARTNERS REDONDO BY TMJ WESTERNOFF DENTAL GROUP, P.C.
License/Registration Type: Fictitious Name Permit
License Number: 20591 Primary Status: Current - Active
Address :
1706 S Elena Ave Ste A
REDONDO BEACH CA 90277-5715
LOS ANGELES 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: WESTERNOFF, DMD, MD, & MARDIROSIAN, DDS, MD, GP-W DENTAL GROUP DBA: ORAL SURGERY PARTNERS - WESTCHESTER
License/Registration Type: Fictitious Name Permit
License Number: 17038 Primary Status: Expired
Address :
8540 S. SEPULVEDA BLVD SUITE 1206
LOS ANGELES CA 90045
LOS ANGELES 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: ORAL SURGERY PARTNERS; DENTAL PRACTICE OF TRENT WESTERNOFF MDM MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 15853 Primary Status: Expired
Address :
604 NORTH SEPULVEDA
MANHATTAN BEACH CA 90266
LOS ANGELES 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: REDONDO ORAL SURGERY DENTAL PRACTICE OF BARRY JOHNSIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7576 Primary Status: Cancelled
Address :
1706 S. ELENA AVE.
REDONDO BEACH CA 90277
LOS ANGELES 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: REDONDO ORAL SURGERY; DENTAL PRACTICE OF TRENT WESTERNOFF DMD MD INC AND MARTIN MARDIROSIAN DDS MD APC
License/Registration Type: Fictitious Name Permit
License Number: 14824 Primary Status: Cancelled
Address :
1706 S ELENA AVE STE A
REDONDO BEACH CA 90277
LOS ANGELES 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: ORAL SURGERY PARTNERS WESTCHESTER BY TMJ WESTERNOFF DENTAL GROUP, P.C.
License/Registration Type: Fictitious Name Permit
License Number: 20590 Primary Status: Current - Active
Address :
8540 S Sepulveda Blvd Ste 1206
LOS ANGELES CA 90045-3819
LOS ANGELES COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: WESTERNOFF, TRENT HOWARD
License/Registration Type: General Anesthesia Permit
License Number: 1400 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
600 North Sepulveda Boulevard
MANHATTAN BEACH CA 90266-5921
