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Licensing details for: 4893

Name: THOMAS A LEVY DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1217 W. TOKAY
LODI CA 94240
SAN JOAQUIN county
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Issuance Date

March 15, 1991

Expiration Date

December 31, 2002

Current Date / Time

June 6, 2025
2:6:28 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LEVY, THOMAS ALLEN

License/Registration Type: Dentist License

License Number: 25165 Primary Status: Current - Active

Address :
4405 N Country Club Ln
LONG BEACH CA 90807-1430
LOS ANGELES COUNTY

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