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Licensing details for: 3693

Name: THOMAS, TREVOR JAMAL

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: Thomas, Trevor Jamal

Address of Record

4400 W Riverside Dr
110-2825
BURBANK CA 91505-4046
LOS ANGELES county
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Practice Location

11980 San Vicente Blvd
Ste. 507
LOS ANGELES CA 90049-5012
LOS ANGELES county
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Issuance Date

October 19, 2017

Expiration Date

April 30, 2026

Current Date / Time

June 7, 2025
8:14:7 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NOHO MODERN DENTISTRY DENTAL GROUP, DOUGLAS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17633 Primary Status: Current - Active

Address :
10930 W. MAGNOLIA BLVD
NORTH HOLLYWOOD CA 91601
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14526 Primary Status: Cancelled

Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CORONA HILLS MODERN DENTISTRY DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15537 Primary Status: Current - Active

Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTISTS OF CANOGA PARK DENTAL GROUP, AMBER GILBERT DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17740 Primary Status: Current - Active

Address :
8393 TOPANGA CANYON BLVD
CANOGA PARK CA 91304
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MY KID'S DENTIST DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15554 Primary Status: Current - Active

Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY

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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: THOMAS, TREVOR JAMAL

License/Registration Type: Dentist License

License Number: 100514 Primary Status: Current - Active

Address :
11980 San Vicente Blvd
Ste. 507
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY

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