Dental Board of California
Licensing details for: 56795
Name: VIRATA, ROBERT JOSEPH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: VIRATA, ROBERT J
Address of Record
1325 26th St
Unit A
SANTA MONICA CA 90404-2051
LOS ANGELES county
Map
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: VIRATA, ROBERT JOSEPH
License/Registration Type: Conscious Sedation Permit
License Number: 624 Primary Status: Cancelled
Address :
12333 TEXAS AVENUE #7
LOS ANGELES CA 90025
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: VIRATA, ROBERT JOSEPH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2034 Primary Status: Cancelled
Address :
1327 S Westgate Ave.
303
LOS ANGELES CA 90025
LOS ANGELES COUNTY
PMS 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: Pediatric Minimal Sedation Permit
Name: VIRATA, ROBERT JOSEPH
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 170 Primary Status: Current - Active
Address :
2100 SOLAR DR. SUITE 201
OXNARD CA 93036
VENTURA COUNTY
