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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

December 13, 2025
2:1:12 PM

License Relationships

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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