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Licensing details for: 48

Name: LONGWILL, DENNIS GLENN

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

3277 TELEGRAPH ROAD
VENTURA CA 93003
VENTURA county
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Issuance Date

January 1, 1992

Expiration Date

October 31, 2015

Current Date / Time

June 7, 2025
3:58:28 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: LONGWILL, DENNIS GLENN

License/Registration Type: Dentist License

License Number: 23342 Primary Status: Cancelled

Address :
6628 OLD PACIFIC COAST HWY
VENTURA CA 93001
VENTURA COUNTY

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