Dental Board of California
Licensing details for: 7097
Name: THOMAS ALLEN LEVY, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1816 W. KETTLEMAN, SUITE C
LODI CA 95240
SAN JOAQUIN county
Map
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
