Dental Board of California
Licensing details for: 2385
Name: LEVY, THOMAS ALLEN
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
15 CALYPSO ST
ALISO VIEJO CA 92656
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DELTA ENDODONTICS LEVY STEFANAC DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 913 Primary Status: Cancelled
Address :
4661 PRECISSI LANE
STOCKTON CA 95207
SAN JOAQUIN COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: LEVY, THOMAS ALLEN
License/Registration Type: Dentist License
License Number: 25165 Primary Status: Current - Active
Address :
4405 N Country Club Ln
LONG BEACH CA 90807-1430
LOS ANGELES COUNTY
