Dental Board of California
Licensing details for: 52
Name: JACKS, SCOTT THOMAS
License Type: Oral Conscious Sedation
Primary Status: Deceased
Specialty: Minor
Previous Names: JACKS, SCOTT
Address of Record
4444 TWEEDY BLVD
SOUTH GATE CA 90280
LOS ANGELES county
Map
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: JACKS, SCOTT THOMAS
License/Registration Type: Dentist License
License Number: 24464 Primary Status: Deceased
Address :
28 CENTERPOINTE DR
LA PALMA CA 90623
ORANGE COUNTY



