Dental Board of California
Licensing details for: 4215
Name: THOUSAND OAKS DENTAL GROUP, THORNE PROFESSIONAL DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1760 E AVENIDA DE LOS ARBOLES
THOUSAND OAKS CA 91362
VENTURA county
Map
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: 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
