Dental Board of California
Licensing details for: 24761
Name: CRAVATT, BENJAMIN F
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Reduced Renewal Fee
Previous Names: SOUTHERLAND, STEVE
Address of Record
1378 VIA CASTILLA
PALOS VERDES ESTATES CA 90274
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SUTHERLAND & CRAVATT, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7550 Primary Status: Cancelled
Address :
927 DEEP VALLEY DR #125
ROLLING HILLS ESTATE CA 90274
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PENINSULA DENTAL ARTS, DENTAL OFFICE OF BENJAMIN F. CRAVATT, DDS
License/Registration Type: Fictitious Name Permit
License Number: 7573 Primary Status: Cancelled
Address :
927 DEEP VALLEY DR.
STE. 125
ROLLING HILLS ESTATE CA 90274
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: TORRANCE DENTAL ARTS, DENTAL PRACTIC OF
License/Registration Type: Fictitious Name Permit
License Number: 2800 Primary Status: Cancelled
Address :
23326 HAWTHORNE BLVD #190
TORRANCE CA 90505
LOS ANGELES COUNTY
