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Licensing details for: 9358

Name: SCOTT JACKS, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SCOTT JACKS DDS, INC.

Address of Record

20700 AVALON BLVD.
STE. 600
CARSON CA 90746
LOS ANGELES county
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Issuance Date

May 3, 2007

Expiration Date

August 31, 2015

Current Date / Time

June 22, 2025
5:49:21 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: JACKS, SCOTT THOMAS

License/Registration Type: Dentist License

License Number: 24464 Primary Status: Deceased

Address :
28 CENTERPOINTE DR
LA PALMA CA 90623
ORANGE COUNTY

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