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Licensing details for: 1201

Name: TOMA, DAVID SAMIR

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Qualification: Pediatric Endorsement Under 7

Address of Record

645 SWEETWATER RD
SPRING VALLEY CA 91977
SAN DIEGO county
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Practice Location

1814 N Dinuba Blvd
VISALIA CA 93291-3014
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246 W College St
# 200
COVINA CA 91723
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418 E Glenoaks Blvd
418 East Glenoaks Boulevard STE 201
GLENDALE CA 91207-2035
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645 Sweetwater Rd
645 Sweetwater Rd
SPRING VALLEY CA 91977
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Issuance Date

November 7, 2000

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
3:40:52 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDZ DENTAL ANESTHESIA, DENTAL PRACTICE OF DR. TOMA

License/Registration Type: Fictitious Name Permit

License Number: 16539 Primary Status: Current - Active

Address :
418 E. GLENOAKS BLVD., SUITE 201
GLENDALE CA 91207
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEBURST DENTISTRY, DENTAL OFFICE OF DAVID TOMA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7535 Primary Status: Current - Active

Address :
7040 BROADWAY
STE. A-27
LEMON GROVE CA 91945
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEBURST DENTISTRY, DENTAL OFFICE OF DAVID TOMA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7745 Primary Status: Cancelled

Address :
8524 1/2 E. ROSECRANS AVENUE
PARAMOUNT CA 90723
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILEBURST DENTISTRY DENTAL GROUP, DAVID TOMA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7563 Primary Status: Current - Active

Address :
645 SWEETWATER ROAD
SPRING VALLEY CA 91977
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SPRING VALLEY DENTAL GROUP, DAVID TOMA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 6248 Primary Status: Cancelled

Address :
645 SWEETWATER RD
SPRING VALLEY CA 91977
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDZ DENTAL ANESTHESIA DENTAL GROUP OF DAVID TOMA DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 16008 Primary Status: Expired

Address :
1110 N. BRAND BLVD., SUITE 201
GLENDALE CA 91202
LOS ANGELES COUNTY

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GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: TOMA, DAVID SAMIR

License/Registration Type: Dentist License

License Number: 48042 Primary Status: Current - Active

Address :
1814 N Dinuba Blvd
VISALIA CA 93291-3014

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