Dental Board of California
Licensing details for: 1069
Name: SOMERVILLE, MATTHEW RYAN
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
1240 S. Westlake Blvd
Ste 139
WESTLAKE VILLAGE CA 91361
VENTURA county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SOMERVILLE, MATTHEW RYAN
License/Registration Type: Dentist License
License Number: 61864 Primary Status: Current - Active
Address :
1240 S Westlake Blvd
Ste 139
WESTLAKE VILLAGE CA 91361-1929
VENTURA COUNTY
