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Licensing details for: 4463

Name: FRUMP, DEREK J

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

27560 Newhall Ranch Rd
#309
VALENCIA CA 91355-6047
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Practice Location

27560 Newhall Ranch Rd
#309
VALENCIA CA 91355-6047
LOS ANGELES county
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Issuance Date

April 26, 2024

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
8:51:28 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: FRUMP, DEREK J

License/Registration Type: Dentist License

License Number: 102852 Primary Status: Current - Active

Address :
28939 High Sierra Trl
SANTA CLARITA CA 91390-5290
LOS ANGELES COUNTY

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