Dental Board of California
Licensing details for: 9094
Name: STUDIO DENTAL CENTER, DENTAL PRACTICE OF WIRTSCHAFTER DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: STUDIO DENTAL CENTER PRACTICE OF WIRTSCHAFTER DENTAL CORPORATION
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: WIRTSCHAFTER, GARY
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: WIRTSCHAFTER, GARY
License/Registration Type: Dentist License
License Number: 31016 Primary Status: Current - Inactive
Address :
241 S Clark Dr
BEVERLY HILLS CA 90211-2608
LOS ANGELES COUNTY
