Dental Board of California
Licensing details for: 837
Name: BRUCKNER, RICHARD HOWARD
License Type: Dentist General Anesthesia
Primary Status: Cancelled
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
2655 1st St
suite 340
SIMI VALLEY CA 93065-1547
VENTURA county
Map
License Relationships
GA to DDS or OMS or SP
License/Registration Role: General Anesthesia Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: BRUCKNER, RICHARD HOWARD
License/Registration Type: Dentist License
License Number: 32034 Primary Status: Current - Active
Address :
2655 1st St
suite 340
SIMI VALLEY CA 93065-1547
VENTURA COUNTY
