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Licensing details for: 2674

Name: VENTURA DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1001 PARTRIDGE RD STE 210
VENTURA CA 93001
VENTURA county
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Issuance Date

February 24, 2000

Expiration Date

March 31, 2003

Current Date / Time

December 16, 2025
5:42:3 AM

License Relationships

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: CLARK, WILLIAM JAMES

License/Registration Type: Dentist License

License Number: 39247 Primary Status: Current - Active

Address :
1801 Solar Dr Ste 100
OXNARD CA 93030-8210
VENTURA COUNTY

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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: THORNE, JOHN MICHAEL

License/Registration Type: Dentist License

License Number: 43868 Primary Status: Cancelled

Address :
26 SOUTH GARDEN ST, STE I
VENTURA CA 93001
VENTURA COUNTY

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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: RAZI, SAGHI SHAYAN

License/Registration Type: Dentist License

License Number: 41527 Primary Status: Current - Active

Address :
327 N REXFORD DR
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY

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