Dental Board of California
Licensing details for: 396
Name: KIRSHBAUM, GERALD M
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
5400 BALBOA BLVD STE 308
ENCINO CA 91316
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PEDIATRIC DENTISTRY AND DENTAL I.V.
License/Registration Type: Fictitious Name Permit
License Number: 2814 Primary Status: Expired
Address :
5400 BALBOA BLVD #308
ENCINO CA 91316
LOS ANGELES COUNTY
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: KIRSHBAUM, GERALD M
License/Registration Type: Dentist License
License Number: 17110 Primary Status: Current - Active
Address :
4698 Park Mirasol
CALABASAS CA 91302-1731
LOS ANGELES COUNTY
