Dental Board of California
Licensing details for: 13593
Name: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RAWLINS, JOSEPH T
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WITTWER, RYAN C
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: RAWLINS, JOSEPH T
License/Registration Type: Dentist License
License Number: 56958 Primary Status: Current - Active
Address :
4420 TOWN CENTER BLVD.
SUITE #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY
