Dental Board of California
Licensing details for: 1400
Name: WESTERNOFF, TRENT HOWARD
License Type: Dentist General Anesthesia
Primary Status: Current - Active
Previous Names: WESTERNOFF, TRENT
License Relationships
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: WESTERNOFF, TRENT HOWARD
License/Registration Type: Dentist License
License Number: 55703 Primary Status: Current - Active
Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921
