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Licensing details for: 9959

Name: THOUSAND OAKS DENTAL GROUP AND ORTHODONTICS, LAMBRIDIS DENTAL COR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1760 E. AVENIDA DE LOS ARBOLES, STE. A
THOUSAND OAKS CA 91362
VENTURA county
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Practice Location

1760 E. AVENIDA DE LOS ARBOLES, STE. A
THOUSAND OAKS CA 91362
VENTURA county
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Issuance Date

May 18, 2012

Expiration Date

June 30, 2017

Current Date / Time

June 7, 2025
3:21:57 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LAMBRIDIS, DEAN

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: LAMBRIDIS, DEAN

License/Registration Type: Dentist License

License Number: 51199 Primary Status: Current - Active

Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA COUNTY

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