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Licensing details for: 3900

Name: LIM, TOM STANLY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4000 CALLE TECATE #111
CAMARILLO CA 93012
VENTURA county
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Issuance Date

May 10, 2019

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
10:20:3 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAS POSAS DENTAL CARE, DENTAL OFFICE OF TOM LIM DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13543 Primary Status: Current - Active

Address :
4000 CALLE TECATE #111
CAMARILLO CA 93012
VENTURA 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: LIM, TOM STANLY

License/Registration Type: Dentist License

License Number: 43633 Primary Status: Current - Active

Address :
4000 CALLE TECATE #111
CAMARILLO CA 93012
VENTURA COUNTY

Map

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