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Licensing details for: 79998

Name: JESSE LANZON, DDS MD INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA county
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Practice Location

4043 MISSION OAKS BLVD
CAMARILLO CA 93012
VENTURA county
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Issuance Date

February 27, 2019

Expiration Date

April 30, 2023

Current Date / Time

June 7, 2025
5:9:40 PM

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: LANZON, JESSE LAWRENCE

License/Registration Type: Dentist License

License Number: 56306 Primary Status: Current - Active

Address :
1111 E Ocean Ave Ste 9
LOMPOC CA 93436-2501

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