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Licensing details for: 1634

Name: LANZON, JESSE LAWRENCE

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Previous Names: LANZON, JESSE L LANZON, JESSE

Address of Record

4043 Mission Oaks Blvd
CAMARILLO CA 93012-5156
VENTURA county
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Practice Location

1111 E Ocean Ave Ste 9
LOMPOC CA 93436-2501
SANTA BARBARA county
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2425 Bath St
SANTA BARBARA CA 93105-4324
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67 S Glenn Dr
CAMARILLO CA 93010-7944
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Issuance Date

September 24, 2012

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
4:50:3 PM

License Relationships

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

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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

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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

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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: LANZON, JESSE LAWRENCE

License/Registration Type: Dentist License

License Number: 56306 Primary Status: Current - Active

Address :
1111 E Ocean Ave Ste 9
LOMPOC CA 93436-2501

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