Dental Board of California
Licensing details for: 31016
Name: WIRTSCHAFTER, GARY
License Type: Dentist
Primary Status: Current - Inactive
Secondary Status: Reduced Renewal Fee
Address of Record
241 S Clark Dr
BEVERLY HILLS CA 90211-2608
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STUDIO DENTAL CENTER, DENTAL PRACTICE OF WIRTSCHAFTER DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 9094 Primary Status: Expired
Address :
10811 WASHINGTON BOULEVARD #302
CULVER CITY CA 90232
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: STUDIO DENTAL CENTER, DENTAL PRACTICE OF WIRTSCHAFTER DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 9094 Primary Status: Expired
Address :
10811 WASHINGTON BOULEVARD #302
CULVER CITY CA 90232
LOS ANGELES COUNTY
