Edyta Witulska

This member is currently entitled to practise.

Full Name:
Edyta Witulska
Designated Electoral District:
District 7
Registration Number:
62396
Current Status:
Member
Aliases:
Edyta Rogala

Practice Information

 
Primary Practice
415 Fairview Dr Unit A Brantford, ON, CA N3R 7M3
Phone: 519-759-0011
Sedation & Anesthesia Facility Permit: Yes
CT Scanner Facility Permit: Yes
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All Practice Locations
415 Fairview Dr Unit A Brantford, ON, CA N3R 7M3
Phone: 519-759-0011
Sedation & Anesthesia Facility Permit: Yes
CT Scanner Facility Permit: Yes
Cambridge Smiles Family Dentistry 410 Hespeler Rd #5 Cambridge, ON, CA N1R 6J6
Phone: 519-622-1230
Sedation & Anesthesia Facility Permit: Yes
CT Scanner Facility Permit: No
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Professional Corporation Information
Dr. Edyta Witulska Dentistry Professional Corporation 288 Blue Heron Ridge Cambridge, ON, CA N3H 3G7
Phone: 519-219-5151
Certificate of Authorization Status: Cancelled at Corporation's Request
Date of Cancellation: April 13, 2026
Certificate of Authorization Issuance: December 28, 2006
Shareholders
Witulska Dentistry Professional Corporation 288 Blue Heron Ridge Cambridge, ON, CA N3H 3G7
Phone: 519-209-8986
Certificate of Authorization Status: Current
Certificate of Authorization Issuance: March 26, 2026
Shareholders
Dr. E. Witulska Dentistry Professional Corporation 410 Hespeler Rd #5 Cambridge, ON, CA N1R 6J6
Phone: 519-622-1230
Certificate of Authorization Status: Revoked - Corporation Ceased to Practice Dentistry
Date of revocation: September 01, 2023
Certificate of Authorization Issuance: October 05, 2015
Shareholders

Academic Information

 
Dental Degree
1997
Academy of Medicine, Lodz, Poland

This may not be a complete record of the member's academic information or continuing education.


Certificate(s) of Registration

 
Current Certificate(s) of Registration and Date(s) of Issuance
General
Initial Date of Registration

Other License(s)

 
Current Dental License(s)
Poland

Sedation & Anesthesia Details

 
Sedation Administration Authorization
Minimal Nitrous Oxide/Oral Sedation
See All Associated Sedation & Anesthesia Facilities
Address: 415 Fairview Dr Unit A Brantford, ON, CA N3R 7M3
Phone: 519-759-0011
Permit Status: Current
Permit Type: Type B
Facility Modality: Deep Sedation/General Anesthesia

Dental CT Scanner Authorizations

 
CT Authorization:
Dentoalveolar CT Scans
See All Associated CT Facilities
Address: 415 Fairview Dr Unit A Brantford N3R 7M3
Phone: 519-759-0011
Permit Status: Current
Last Inspection Date: June 07, 2017

This information was obtained from the register of the Royal College of Dental Surgeons of Ontario (www.rcdso.org)