Dental Board of California
Licensing details for: 65354
Name: TUCKER, BRENT ARLENTON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
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: TUCKER, BRENT ARLENTON
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3513 Primary Status: Cancelled
Address :
13412 Inglewood Ave
HAWTHORNE CA 90250-5603
LOS ANGELES COUNTY
PMS 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: Pediatric Minimal Sedation Permit
Name: TUCKER, BRENT ARLENTON
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 358 Primary Status: Current - Active
Address :
13412 Inglewood Ave
HAWTHORNE CA 90250-5603
LOS ANGELES COUNTY
