Dental Board of California
Licensing details for: 624
Name: VIRATA, ROBERT JOSEPH
License Type: Conscious Sedation
Primary Status: Cancelled
Previous Names: VIRATA, ROBERT J
Address of Record
12333 TEXAS AVENUE #7
LOS ANGELES CA 90025
LOS ANGELES 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: VIRATA, ROBERT JOSEPH
License/Registration Type: Dentist License
License Number: 56795 Primary Status: Current - Active
Address :
1325 26th St
Unit A
SANTA MONICA CA 90404-2051
LOS ANGELES COUNTY
