Dental Board of California
Licensing details for: 58606
Name: SEWELL, JEREMY JAY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
29740 Rancho California Rd
100
TEMECULA CA 92591-5200
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ETHOS ADVANCED DENTAL CARE DENTAL PRACTICE OF JEREMY JAY SEWELL DMD PC
License/Registration Type: Fictitious Name Permit
License Number: 17924 Primary Status: Current - Active
Address :
29740 RANCHO CALIFORNIA RD #100
TEMECULA CA 92591
RIVERSIDE 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: ETHOS ADVANCED DENTAL CARE DENTAL PRACTICE OF JEREMY JAY SEWELL DMD PC
License/Registration Type: Fictitious Name Permit
License Number: 17924 Primary Status: Current - Active
Address :
29740 RANCHO CALIFORNIA RD #100
TEMECULA CA 92591
RIVERSIDE 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: SEWELL, JEREMY JAY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3150 Primary Status: Current - Active
Address :
29740 Rancho California Rd
#100
TEMECULA CA 92591-5200
RIVERSIDE COUNTY
