Dental Board of California
Licensing details for: 56306
Name: LANZON, JESSE LAWRENCE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: LANZON, JESSE L ❖ LANZON, JESSE
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: JESSE LANZON, DDS MD INC
License/Registration Type: Additional Office Permit
License Number: 79998 Primary Status: Expired
Address :
4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHANNEL ISLANDS ORAL & MAXILLOFACIAL SURGERY JESSE LANZON, DDS,MD REYNALDO RIVERA, DDS, MD, FACS DENTATL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 17073 Primary Status: Current - Active
Address :
67 S GLENN DR
CAMARILLO CA 93010
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LOMPOC ORAL AND MAXILLOFACIAL SURGERY DENTAL PRATICE OF DAVID MCANINCH IV DDS AND JESSE LANZON DDS MD
License/Registration Type: Fictitious Name Permit
License Number: 15432 Primary Status: Expired
Address :
1111 E OCEAN AVE STE 9
LOMPOC CA 93436
SANTA BARBARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHANNEL ISLANDS ORAL & MAXILLOFACIAL SURGERY JESSE LANZON, DDS, MD, REYNALDO RIVERA, DDS, MD, FACS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 17046 Primary Status: Expired
Address :
4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA 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: CHANNEL ISLANDS ORAL & MAXILLOFACIAL SURGERY JESSE LANZON, DDS,MD REYNALDO RIVERA, DDS, MD, FACS DENTATL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 17073 Primary Status: Current - Active
Address :
67 S GLENN DR
CAMARILLO CA 93010
VENTURA 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: LOMPOC ORAL AND MAXILLOFACIAL SURGERY DENTAL PRATICE OF DAVID MCANINCH IV DDS AND JESSE LANZON DDS MD
License/Registration Type: Fictitious Name Permit
License Number: 15432 Primary Status: Expired
Address :
1111 E OCEAN AVE STE 9
LOMPOC CA 93436
SANTA BARBARA 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: CHANNEL ISLANDS ORAL & MAXILLOFACIAL SURGERY JESSE LANZON, DDS, MD, REYNALDO RIVERA, DDS, MD, FACS DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 17046 Primary Status: Expired
Address :
4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA 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: LANZON, JESSE LAWRENCE
License/Registration Type: General Anesthesia Permit
License Number: 1634 Primary Status: Current - Active
Address :
1111 E Ocean Ave Ste 9
LOMPOC CA 93436-2501
SANTA BARBARA COUNTY
