Dental Board of California
Licensing details for: 15432
Name: LOMPOC ORAL AND MAXILLOFACIAL SURGERY DENTAL PRATICE OF DAVID MCANINCH IV DDS AND JESSE LANZON DDS MD
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MCANINCH, DAVID LEWIS
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LANZON, JESSE LAWRENCE
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MCANINCH, DAVID LEWIS
License/Registration Type: Dentist License
License Number: 62204 Primary Status: Current - Active
Address :
1111 E Ocean Ave
Suite 9
LOMPOC CA 93436-7076
SANTA BARBARA COUNTY
