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Licensing details for: 80593

Name: TRENT WESTERNOFF, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

604 NORTH SEPULVEDA
MANHATTAN BEACH CA 90266
LOS ANGELES county
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Practice Location

604 NORTH SEPULVEDA
MANHATTAN BEACH CA 90266
LOS ANGELES county
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Issuance Date

June 15, 2020

Expiration Date

April 30, 2026

Current Date / Time

June 5, 2026
5:41:57 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: WESTERNOFF, TRENT HOWARD

License/Registration Type: Dentist License

License Number: 55703 Primary Status: Current - Active

Address :
604 N Sepulveda Blvd
MANHATTAN BEACH CA 90266-5921

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