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Licensing details for: 1693

Name: WITTWER, RYAN C

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4420 TOWN CENTER BL
STE 220
EL DORADO HILLS CA 95746
EL DORADO county
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Issuance Date

October 15, 2008

Expiration Date

July 31, 2020

Current Date / Time

June 6, 2025
2:1:22 AM

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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: WITTWER, RYAN C

License/Registration Type: Dentist License

License Number: 56989 Primary Status: Current - Active

Address :
8705 BROOKDALE CIRCLE
GRANITE BAY CA 95746
PLACER COUNTY

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