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Licensing details for: 82261

Name: TREVOR THOMAS, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

11970 San Vicente Blvd. # 507
LOS ANGELES CA 90049
LOS ANGELES county
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Practice Location

11980 SAN VICENTE BLVD STE. 507
LOS ANGELES CA 90049
LOS ANGELES county
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Issuance Date

June 26, 2025

Expiration Date

April 30, 2026

Current Date / Time

December 13, 2025
1:58:56 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: THOMAS, TREVOR JAMAL

License/Registration Type: Dentist License

License Number: 100514 Primary Status: Current - Active

Address :
11980 San Vicente Blvd
Ste. 507
LOS ANGELES CA 90049-5012
LOS ANGELES COUNTY

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