Dental Board of California
Licensing details for: 874
Name: THOMPSON, MARLENE MAVILLA
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: THOMPSON, MARLENE MAVILA ❖ THOMPSON, MARLENE M
Address of Record
1018 W EL NORTE PKWY
ESCONDIDO CA 92026
SAN DIEGO 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: THOMPSON, MARLENE MAVILLA
License/Registration Type: Dentist License
License Number: 50382 Primary Status: Current - Active
Address :
1001 W San Marcos Blvd
106C
SAN MARCOS CA 92078-4012
SAN DIEGO COUNTY
