Dental Board of California
Licensing details for: 56989
Name: WITTWER, RYAN C
License Type: Dentist
Primary Status: Current - Active
Address of Record
8705 BROOKDALE CIRCLE
GRANITE BAY CA 95746
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER
License/Registration Type: Fictitious Name Permit
License Number: 13593 Primary Status: Cancelled
Address :
230 GREEN VALLEY RD
FREEDOM CA 95019
SANTA CRUZ 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: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER
License/Registration Type: Fictitious Name Permit
License Number: 13593 Primary Status: Cancelled
Address :
230 GREEN VALLEY RD
FREEDOM CA 95019
SANTA CRUZ 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: WITTWER, RYAN C
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1693 Primary Status: Cancelled
Address :
4420 TOWN CENTER BL
STE 220
EL DORADO HILLS CA 95746
EL DORADO COUNTY
