Dental Board of California
Licensing details for: 36297
Name: WASSERSTEIN, JACK ELLIOT
License Type: Dentist
Primary Status: Current - Active
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: WASSERSTEIN, JACK ELLIOT
License/Registration Type: Conscious Sedation Permit
License Number: 415 Primary Status: Cancelled
Address :
27450 TOURNEY RD #100
VALENCIA CA 91355
LOS ANGELES COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: WASSERSTEIN, JACK ELLIOT
License/Registration Type: Conscious Sedation Permit
License Number: 1281 Primary Status: Cancelled
Address :
2901 W. Olive Ave
BURBANK CA 91505
LOS ANGELES COUNTY
