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Licensing details for: 7950

Name: MOORPARK SMILES DENTAL GROUP, PRACTICE OF THORNE DENT CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MOORPARK SMILES DENTAL GROUP

Address of Record

144 LOS ANGELES AVENUE
STE. 114
MOORPARK CA 93021
VENTURA county
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Practice Location

144 LOS ANGELES AVENUE
STE. 114
MOORPARK CA 93021
VENTURA county
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Issuance Date

January 29, 2009

Expiration Date

March 31, 2017

Current Date / Time

December 16, 2025
5:36:1 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: 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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