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Licensing details for: 32034

Name: BRUCKNER, RICHARD HOWARD

License Type: Dentist

Primary Status: Current - Active

Address of Record

2655 1st St
suite 340

SIMI VALLEY CA 93065-1547
VENTURA county
Map

Issuance Date

October 11, 1983

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
9:43:28 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: BRUCKNER, RICHARD HOWARD

License/Registration Type: General Anesthesia Permit

License Number: 837 Primary Status: Cancelled

Address :
2655 1st St
suite 340

SIMI VALLEY CA 93065-1547
VENTURA COUNTY

Map

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