Jeffrey Epstein’s Dental Network: Dentists, Dental Offices, Columbia, and Zorro Smiles

PostedSeptember 21, 2026

UpdatedSeptember 21, 2026

ByEpsteinWiki

Jeffrey Epstein’s dental network was not a single relationship with a personal dentist. Public records describe a connected system involving his longtime partner Karyna Shuliak, his New York dentist Thomas Magnani, senior figures at Columbia University’s College of Dental Medicine, assistants who arranged appointments, dental licenses in several jurisdictions, and dental equipment at multiple Epstein properties. The evidence also contains important gaps. Dental chairs, oxygen, anesthetic, and private treatment rooms are documented, but the public record does not establish every patient, procedure, operator, or purpose. This article maps the people, institutions, properties, records, and unresolved questions without treating proximity as proof of criminal conduct.

Snapshot

Category	Documented finding
Central dental figure	Karyna Shuliak, Epstein’s longtime partner and assistant, graduated from Columbia’s dental program in 2015 and later completed a Columbia postdoctoral general dentistry program in 2025.
Personal dentist	Thomas Magnani was identified in reporting and records as Epstein’s New York dentist and a major intermediary between Epstein and Columbia’s dental school.
Additional direct New York providers	Marc Lemchen provided orthodontic care, Steven D. Kaplan provided endodontic care, Harrison L. Chen performed oral surgery, and Stacy A. Spizuoco provided general dentistry and Invisalign care through Magnani’s office. Appointment, treatment, invoice, and payment records connect each provider to Epstein or people whose care his office coordinated.
Additional dentist named by a witness	A September 9, 2020 interview memorandum records a cooperating witness identifying “Michael Appa” as the dentist connected to painful dental surgeries in 2017. The likely identification is cosmetic dentist Michael Apa, but the memorandum gives no address, invoice, chart, or provider number and does not establish who arranged or paid for the care.
Proposed ranch practice	Shuliak’s 2015 New Mexico application listed “Zorro Smiles” at 49 Zorro Ranch Road as her proposed practice.
New Mexico license	The New Mexico Board of Dental Health Care issued Shuliak a general dentistry license on August 14, 2015. The New Mexico Survivors’ Truth Commission found no evidence that she actually practiced dentistry in the state.
Private dental equipment	Records refer to a dental chair pump at Zorro Ranch, oxygen for dental offices in New York and New Mexico, and anesthetic. Images also document dental chairs or dental rooms connected to Epstein properties and later evidence collections.
Columbia admissions	Columbia acknowledged in 2026 that Shuliak entered its dental school through an “irregular process” that coincided with fundraising solicitations involving Epstein.
Donations	Columbia identified $210,000 in donations from Epstein related entities and committed an equal amount to organizations supporting survivors of sexual abuse and human trafficking.
Appointment and payment system	Lesley Groff and other assistants scheduled care, communicated with providers, arranged transport, transmitted invoices, and sought Epstein’s approval for treatment and payment. Records show Epstein approving some work while declining an orthodontic consultation in another case.
Confirmed dentists and dental academics	Shuliak, Magnani, Ira Lamster, Letty Moss-Salentijn, James Fine, Martin Davis, Richard Lichtenthal, Laureen Zubiaurre, Christian Stohler, Ronnie Myers, Vicky Evangelidis-Sakellson, and Burrell Tucker appear in different parts of the documented dental record. Their roles and degree of connection vary substantially.
Critical evidentiary limit	No verified public record located for this article proves that teeth were extracted to prevent victims from biting, that dental equipment was used in assaults, or that every dental room was used by Shuliak.
Status	New Mexico authorities and the state Survivors’ Truth Commission were still investigating medical and dental activity connected to Zorro Ranch in 2026.

Scope and Evidence Standard

The phrase “dental network” is used here to describe documented connections among dental providers, dental school personnel, licensing officials, scheduling staff, practices, payments, equipment, and properties. It does not mean that every named person belonged to a criminal conspiracy.

This article separates the evidence into four levels:

Level	Meaning
Confirmed direct connection	A record directly links the person or entity to Epstein, Shuliak’s dental education, Epstein’s dental care, a dental appointment, a donation, a license, or dental equipment.
Confirmed institutional role	The person had a documented official role in an admissions, education, licensing, or practice process, but the record may not show a personal relationship with Epstein.
Reported but not fully verified	A claim appears in credible reporting or a résumé, but complete supporting records are not public.
Unsupported or unresolved	The claim has circulated publicly but lacks patient files, testimony, forensic evidence, or another reliable basis sufficient to state it as fact.

The New Mexico Survivors’ Truth Commission expressly warned that its interim report presents investigative information rather than final findings. That caution applies here as well. No wrongdoing should be inferred solely from a person’s name appearing in an email, school record, appointment message, or professional directory.

Network at a Glance

Person or entity	Dental role	Documented connection	Evidentiary boundary
Karyna Shuliak	Dentist, Columbia graduate, proposed owner of Zorro Smiles	Epstein partner and assistant; education, licenses, equipment communications, and proposed ranch practice	She has not been charged with a crime, and the New Mexico Commission found no evidence that she practiced in New Mexico.
Thomas Magnani	New York dentist, Columbia alumnus and former volunteer faculty leader	Epstein’s dentist; helped connect Epstein and Shuliak to Columbia; sought donations; involved in later recommendations	His involvement in admissions and fundraising is documented. That does not establish involvement in Epstein’s sexual offenses.
Ira B. Lamster	Periodontist and former Columbia dental dean	Communicated about Shuliak, fundraising, and Epstein; a $100,000 gift supported a fund bearing his name	Lamster denied a quid pro quo and said Shuliak should be judged on merit.
Letty Moss-Salentijn	Dentist, anatomist, and senior Columbia academic official	Helped shape Shuliak’s academic path and was described by Magnani as her mentor	Columbia removed her administrative roles in 2026. No public criminal allegation was identified.
James Fine	Periodontist, Columbia administrator, and clinician affiliated with Magnani’s practice	Communicated with Magnani during the 2012 process, reportedly provided dental care to Epstein or his associates, and recommended Shuliak for a 2023 postdoctoral program	His clinical and academic connections are documented, but they do not by themselves establish involvement in Epstein’s sexual offenses.
Martin Davis	Pediatric dentist and former senior associate dean	Arranged a special school tour and followed up on Shuliak’s interest in Columbia	The record concerns institutional access, not treatment at Epstein properties.
Richard Lichtenthal	Dentist and former Columbia administrator	Discussed academic steps, meetings, exam material, and Shuliak’s progress	The available record concerns education and gifts, not Epstein’s private dental rooms.
Laureen Zubiaurre	Dentist and admissions official	Issued the initial rejection and later wrote a 2023 recommendation for Shuliak	Her 2012 rejection is evidence that she did not simply approve the initial application.
Christian Stohler	Dentist and Columbia dean from 2013	Attended or was invited to dinners involving Epstein and Magnani during later fundraising discussions	He was not the dean who admitted Shuliak in 2012.
Ronnie Myers	Pediatric dentist and interim Columbia dean after Lamster	Held the deanship during part of Shuliak’s early enrollment and appears in school related records	Public evidence reviewed does not establish that he engineered her admission or had a personal dental relationship with Epstein.
Vicky Evangelidis-Sakellson	Dentist and director of Columbia’s postdoctoral general dentistry program	Directed the program Shuliak completed in 2025 and appeared at her graduation	Program leadership alone does not establish involvement in the 2012 admission or a personal Epstein connection.
Burrell Tucker	Dentist and New Mexico dental board chair	Approved issuance of Shuliak’s New Mexico license in a short 2015 email	This was a regulatory act. No evidence located shows a personal relationship with Epstein.
Lesley Groff	Executive assistant, not a dentist	Arranged school access, appointments, travel, and communications	Scheduling activity documents operational involvement but does not identify who performed every treatment.
“Ivy”	Apparently a hygienist or dental office staff member	Named in an email about a cleaning at Magnani’s office	Full identity and professional status remain unconfirmed.
Michael Apa, identified in the record as “Michael Appa”	New York cosmetic dentist	A cooperating witness named “Michael Appa” as the dentist after describing painful dental surgeries in 2017 and an alleged threat to remove healthy teeth	The name match is highly plausible but not conclusive. The record is an interview note containing allegations, not a clinical record, disciplinary finding, or adjudication. It does not say Epstein selected, scheduled, or paid the dentist.
Marc Lemchen	New York orthodontist	Direct appointment and invoice records show orthodontic consultations, braces or Invisalign planning, and payments for people whose dental care Epstein’s office coordinated	The records document professional care and financial routing. They do not establish knowledge of or participation in Epstein’s crimes. Some emails misspell his first name as “Mark.”
Steven D. Kaplan	New York endodontist	Treated Epstein and several people around him for root canals or related endodontic problems. Epstein or his staff received invoices and approved multiple payments	The records establish treatment and payment activity, not misconduct by Kaplan.
Harrison L. Chen	New York oral and maxillofacial surgeon	Extracted wisdom teeth for a woman whose appointments, transport, and aftercare were coordinated through Epstein’s office	The records identify ordinary oral surgery and logistics. They do not establish improper treatment or knowledge of Epstein’s crimes.
Stacy A. Spizuoco	New York general dentist	Worked at Magnani’s office, treated cavities and fillings, managed Invisalign care, and communicated with Karyna Shuliak about transferring a patient’s aligner case	The records establish a direct clinical role within the practice. They do not establish participation in Epstein’s abuse.
7 West 51 Dental	Private New York dental practice	Magnani’s practice and a location associated with Epstein related dental scheduling	Other clinicians at the practice are not automatically Epstein associates.
Columbia College of Dental Medicine	Dental school	Shuliak’s 2012 admission, 2015 graduation, 2023 postdoctoral admission, fundraising, and later institutional review	Columbia stated the initial admission process failed its standards.
Zorro Smiles	Proposed practice name	Listed on Shuliak’s New Mexico license application at Zorro Ranch	No separate business license or verified operating history was found.

Karyna Shuliak

Karyna Shuliak is the central link joining Epstein’s intimate household, dental education, professional licensing, and property based dental equipment. She studied dentistry at Belarusian State Medical University but left before completing the program. Records cited by the New Mexico Survivors’ Truth Commission say she had completed four of five years when she withdrew in August 2010.

Shuliak later sought admission to Columbia University’s College of Dental Medicine. Her first effort was rejected. Emails then show Epstein, his assistant Lesley Groff, Thomas Magnani, and Columbia personnel pursuing alternative routes, reviewing her prior credits, arranging meetings, discussing an examination, and developing a path by which she could enter the program. Columbia ultimately admitted her as a transfer student in 2012. She graduated in 2015.

Epstein paid or offered to pay substantial education expenses and maintained close involvement in the process. The timing of his donations and fundraising discussions became central to Columbia’s later review. Columbia stated in February 2026 that the admission had occurred through an irregular process coinciding with fundraising solicitations. The university also emphasized that Shuliak herself had not, to its knowledge, been found responsible for wrongdoing.

After graduation, Shuliak obtained or reportedly obtained dental licenses in New Mexico, the United States Virgin Islands, and Florida. A résumé released in the files reportedly stated that she owned or worked at a dental practice on St. Thomas. Public reporting has not fully established the practice name, patient population, dates of operation, or the extent of treatment performed there. Her New Mexico application is more specific: it proposed “Zorro Smiles” at Epstein’s ranch.

In 2023, four years after Epstein’s death, Shuliak returned to Columbia for an Advanced Education in General Dentistry program. James Fine, Thomas Magnani, and Laureen Zubiaurre reportedly supplied recommendations. She completed the program in 2025, obtained a New York license later that year, and reportedly worked part time at a Brooklyn dental office. The public record does not show that her later patients or coworkers knew of her relationship with Epstein.

Shuliak was also Epstein’s longtime partner and one of his assistants. She was the last known person to speak with him by telephone before his death in federal custody in August 2019. His testamentary documents named her for a major benefit, although public accounts differ over the instrument, amount available after estate claims, and what she ultimately received.

These facts establish unusual proximity and financial dependence. They do not, without more evidence, establish that Shuliak used dentistry to facilitate abuse. She has not been criminally charged in connection with Epstein, and the New Mexico Commission stated that it had not located evidence showing she practiced dentistry in New Mexico.

Thomas Magnani

Thomas Magnani was the most important professional intermediary in Epstein’s dental network. He was Epstein’s New York dentist, a 1980 graduate of Columbia’s dental school, a volunteer faculty member, a member of the admissions review structure, an alumni leader, and a dentist in private practice at 7 West 51st Street in Manhattan.

The records place Magnani at several junctions:

He provided or coordinated dental care for Epstein.
He connected Epstein and Shuliak with Columbia personnel.
He transmitted or discussed Shuliak’s academic records and possible transfer credit.
He contacted James Fine concerning the examination used in the 2012 transfer process.
He maintained contact with senior dental school figures while Epstein was being cultivated as a donor.
He later sought additional donations from Epstein, including a 2018 proposal associated with Moss-Salentijn.
He wrote a recommendation supporting Shuliak’s 2023 postdoctoral application.

One appointment email asks whether Epstein needed to see Magnani or was only scheduled for a cleaning with “Ivy.” The distinction supports the conclusion that Magnani’s practice functioned as an ordinary staffed dental office, with care divided between a dentist and a hygienist or staff member. Other reporting says Groff arranged appointments at Epstein’s preferred dentist for women in his orbit as well as for Epstein.

In February 2026, Columbia removed Magnani from its admissions review committee and volunteer leadership roles, ended his voluntary faculty appointment, and terminated the affiliation agreement with his private practice. Columbia noted that he had not taught at the school since 2017 and had already stepped down from its board of advisors.

Magnani’s private practice lists Mary Magnani as another dentist. No direct public record reviewed for this article establishes that Mary Magnani treated Epstein, communicated with him, assisted Shuliak’s admission, or participated in his property based dental arrangements. Her presence at the same practice is therefore not treated as an Epstein connection.

Epstein’s New York Dental Care and Scheduling System

Epstein’s assistants treated dental care as part of a broader personal logistics system. Appointment records moved through the same office machinery used for travel, household access, meetings, medical care, and social arrangements.

Lesley Groff is the best documented scheduler in the dental record. She contacted Columbia personnel to arrange a special tour for Shuliak in 2011. She also communicated with Magnani and other dental personnel about Epstein’s appointments and Shuliak’s education. Reporting based on released communications says she arranged dental appointments for women around Epstein at his preferred New York office. Columbia Daily Spectator reporting further states that Magnani and James Fine both provided dental care to Epstein or his associates. Fine worked as a periodontist at Magnani’s Columbia affiliated private practice, placing him in both the clinical and academic sides of the network.

The available messages do not produce a complete patient ledger. Some identify treatment, costs, and approval while others omit the diagnosis, payer, or consent process. Names are often redacted or reduced to first names. For that reason, an appointment should be described as evidence of access to care, not evidence of abuse or a particular procedure unless the record says what occurred.

The phrase “all the dentists” also requires care. Epstein may have visited providers not yet visible in public records, and some messages refer to unnamed dentists. The public record supports Magnani as the principal identified personal dentist, but it also directly documents several specialists and clinicians. It does not support labeling every Columbia dentist, every clinician at 7 West 51 Dental, or every person who cleaned teeth as part of Epstein’s personal network.

Additional Direct Dental Providers

Marc Lemchen

Marc Lemchen was the orthodontist repeatedly called “Dr. Lemchen” or “Dr. Mark Lemchen” in the emails. His official practice biography identifies him as a New York orthodontist at 553 Park Avenue, the same address and telephone number recorded in EFTA02081423. The spelling and contact details establish that the records refer to Marc Lemchen.

Lemchen’s connection is documented through appointments, treatment planning, invoices, and payment. EFTA01828096 records Epstein approving a $175 Lemchen invoice in June 2009. EFTA02441182 records a $3,000 initial payment followed by a proposed $300 monthly schedule. Other records concern a $185 invoice. In March 2013, Karyna Shuliak arranged an appointment with Lemchen. Later messages describe Invisalign evaluation, oral examination, radiographs, and braces consultations for people whose care was being managed through Epstein’s office.

The records also show that Epstein exercised financial discretion over proposed care. In the Simon Ghraichy correspondence, Magnani recommended Lemchen for braces. Epstein approved payment for fillings by Magnani but declined the Lemchen consultation. That exchange is direct evidence that Epstein did not merely reimburse bills after treatment. He sometimes decided which proposed dental work he would finance.

Steven D. Kaplan

Steven D. Kaplan was an endodontist at 119 West 57th Street. The address, name, professional title, and telephone data in the records match public provider information for Steven D. Kaplan, DMD.

Kaplan treated Epstein directly. A February 2012 appointment series places Epstein at Kaplan’s office, and later records concern a bill for Epstein’s root canal. Kaplan also treated several people in Epstein’s orbit. One exchange describes a $2,500 root canal invoice and Epstein replying “Yes” when asked to authorize payment. Another concerns $2,800 for work performed for Valeriya Planidska. Additional messages describe infected root canals, referrals from Magnani, unpaid bills, and follow up calls from Kaplan’s office.

Not every Kaplan bill was accepted automatically. In the case of Anisa, staff wrote that Magnani had seen her before Kaplan performed several root canals, but they also stated that Epstein’s office had not sent her and that she was responsible for the charges. This distinction shows that the office attempted to separate authorized referrals from care independently obtained by a person in Epstein’s orbit.

Harrison L. Chen

The “Dr. Chen” identified as an oral surgeon at 140 West 58th Street, Suite A, matches Harrison L. Chen, DDS, an oral and maxillofacial surgeon whose practice used that address. Records in June 2015 describe consultation and extraction of three wisdom teeth for a woman whose general dental and Invisalign care also involved Magnani’s office.

The messages include fasting instructions, timing, a cab or pickup plan, and a request from Epstein that “one of the girls” help the patient home after the appointment. These records make Chen part of the documented clinical network and also show how Epstein’s household staff supplied transport and aftercare around treatment. They do not show that Chen knew why the household was involved or that the surgery was improper.

Stacy A. Spizuoco

Stacy A. Spizuoco, DDS, was a general dentist working with Magnani at 7 West 51st Street. Her surname appears in several distorted forms in the records, including “Spazooko,” “Spezuka,” and “Spizuoko.” Emails signed “Stacy A. Spizuoco DDS,” the practice address, and Magnani’s statements that she worked with him resolve the identity.

Spizuoco treated cavities, repaired fillings, scheduled follow up care, and managed Invisalign treatment for people routed through Epstein’s office. EFTA02501659 records a $7,720 payment request to Magnani that included $7,500 for Invisalign with Spizuoco, followed by Epstein’s approval. Other records show Magnani proposing that Spizuoco repair two fillings and Epstein agreeing.

Karyna Shuliak also communicated with Spizuoco about transferring an Invisalign case. EFTA02303176 and related records say the woman was already a patient of record at the office and document the transfer of aligner materials and clinical responsibility. This is evidence that Shuliak participated in coordinating dental care, but it does not prove that she treated that patient herself.

Names reviewed but not elevated into the direct network

Marc Lowenberg appears in forwarded publicity or recommendation material and in a directory, but no direct appointment, treatment, invoice, payment, or referral record connecting him to Epstein was located in the reviewed corpus. Dennis Tarnow, Val Kanter, Maurice Salama, and Pascal Magne appear in continuing education material rather than patient care records. Daniel Kuncio appears in connection with a job interview for Shuliak. Those appearances do not establish that any of them treated Epstein or his associates.

Unidentified and indirect providers

Several records describe dental care without enough information to identify the provider. In a London exchange, a woman with a toothache asked Epstein for a dentist. He offered his New York dentist and said he would obtain a London name. Other messages discuss an unpaid dentist in Tashkent. Paul Krassner told Epstein that an unnamed oral surgeon proposed ten implants costing $27,000 and that he still needed $13,000 after receiving $14,000. These records belong in the financial and referral history, but the unnamed providers cannot responsibly be added as identified network members.

Michael Apa and the 2017 Witness Allegation

A six page interview memorandum dated September 9, 2020 records statements by a person identified only as “CW.” The memorandum concerns allegations of sexual abuse, coercion, surveillance, threats, and interactions involving Leon Black, Jeffrey Epstein, and other prominent people. It records allegations rather than judicial findings.

On its final page, the memorandum says the witness underwent “horrible surgeries at the dentist” that caused substantial pain. It further records the witness saying that when she returned to ask what had happened, personnel told her that if she came back they would remove healthy teeth as well. The notes date the dental work to 2017 and state: “Michael Appa is the dentist.” The document is EFTA01246230 through EFTA01246235. The relevant page bears the internal stamp EFTA_00063076 and the public page stamp EFTA01246235.

The most likely identification is Michael Apa, DDS. His official biography identifies him as a New York cosmetic dentist who joined Larry Rosenthal’s practice, became a partner in 2004, and became sole proprietor in 2014. Those facts fit the profession, first name, unusual surname, city, and 2017 date. The conclusion should still be labeled probable because the interview memorandum spells the surname “Appa” and supplies no address, practice name, telephone number, bill, chart, treatment plan, or license number.

The memorandum supports a serious patient allegation. It does not establish that Apa knew about abuse by Black or Epstein, that Epstein referred the witness, that Epstein or an Epstein entity paid for the treatment, that the quoted statement was made by Apa personally, or that any regulator or court found the treatment improper. No separate appointment email, payment record, patient chart, or disciplinary decision corroborating the dental episode was located in the public Epstein corpus reviewed for this article.

Larry Rosenthal

Apa’s official biography confirms his professional relationship with Larry Rosenthal. Apa joined Rosenthal’s New York office after graduation, became a partner, and later became sole proprietor. Apa Aesthetic currently lists Rosenthal among its New York dentists.

That professional lineage does not establish an Epstein connection. Searches for “Larry Rosenthal” in the full public corpus produced five exact page hits. Four were duplicate Palm Beach property data entries naming a Larry and Sandra Rosenthal. The fifth named a film art director. None identified the dentist. Searches for “Rosenthal Apa,” “Rosenthal Dental,” “Larry Rosenthal DDS,” and “Rosenthal Institute” produced no relevant hit. Rosenthal should therefore be described as part of Apa’s professional history, not as a documented member of Epstein’s dental network on the present record.

Address and search traps

Apa Aesthetic lists its New York office at 30 East 76th Street, floor 5. The Epstein records contain numerous genuine references to the same street address, but they concern dermatologist Steven Victor on floor 6. Shared occupancy of a medical office building is not evidence of a relationship. No reviewed record places Epstein at Apa Aesthetic or on floor 5.

Two records surfaced in ordinary name searches, EFTA00503867 and EFTA00404176. Inspection of the original documents showed that they concerned Kimbal Musk and other unrelated subjects. They contain no Michael Apa or Larry Rosenthal connection. They are excluded as search engine false positives.

This episode also exposes an important search limitation. Exact searches for “Michael Apa,” “Apa Aesthetic,” and “Rosenthal Apa” returned no result because the relevant interview note uses “Michael Appa.” Exhaustive review must include spelling variants, profession terms, addresses, phone numbers, and surrounding allegations rather than exact name searches alone.

The 2011 to 2012 Columbia Admission Campaign

Shuliak’s first Columbia admission sequence is the best documented institutional component of the network.

Date	Event	People or entities
April 2011	Groff sought a special dental school tour for “Jeffrey’s friend,” identified as Karyna or Korina in varying records.	Groff, Martin Davis, Epstein, Shuliak
2011	Shuliak pursued admission after leaving dental study in Belarus.	Shuliak, Columbia
February 6, 2012	Epstein’s office invited Magnani and the dental school dean to Epstein’s home for drinks.	Epstein, Magnani, Ira Lamster
February 16, 2012	Columbia rejected Shuliak’s application.	Laureen Zubiaurre, Shuliak
February and March 2012	Magnani and administrators reviewed prior coursework and possible credit.	Magnani, Lamster, Fine, others
March 2, 2012	Columbia contacted Belarusian officials about whether Shuliak could complete her final year through Columbia.	Lamster, Belarusian State Medical University
March and April 2012	Shuliak met senior academic officials and received guidance and materials for an admissions or transfer examination.	Lichtenthal, Moss-Salentijn, Fine, Magnani
May 3, 2012	Columbia issued a transfer acceptance letter.	Columbia, Shuliak
May 2012	Records addressed registration, billing, clinical responsibilities, identification, and immigration related administration.	Columbia personnel, Shuliak
August 2012	Epstein directed a $100,000 payment, and Lamster thanked him for support connected to a fund or initiative bearing Lamster’s name.	Epstein, Enhanced Education, Lamster, Columbia
2014	Epstein related funds included a $50,000 donation made in Shuliak’s name.	Epstein related entity, Columbia, Shuliak
2015	Shuliak graduated from Columbia.	Shuliak, Columbia

Columbia’s rules at the time reportedly did not ordinarily permit transfer into the third or fourth year. Shuliak had not completed a bachelor’s degree and had already undertaken four years of dental study abroad. The workaround therefore required senior attention and an individualized assessment.

Columbia later concluded that this process did not meet its standards for integrity and independence in admissions. That institutional conclusion is stronger than a speculative claim of favoritism. At the same time, available evidence does not establish that every faculty member involved knew the full extent of Epstein’s offenses or understood every fundraising discussion.

Columbia Dental Personnel

Ira B. Lamster

Ira Lamster was dean and professor of dentistry during the key admission period. He communicated about Shuliak’s prior training, contacted Belarusian officials, and acknowledged that Epstein asked for help at a time when the dental school was pursuing a major gift. Lamster said there was no quid pro quo and that Shuliak was to be evaluated on her merits.

In August 2012, shortly after the admission, Epstein related funds supplied $100,000 for an initiative or fund associated with Lamster after he moved to Columbia’s public health school. Later emails show Lamster seeking to preserve or redirect unused funds and Epstein saying he might donate more. Lamster left Columbia in 2017 and was not among the two people whose roles Columbia terminated or reduced in 2026.

Letty Moss-Salentijn

Letty Moss-Salentijn was a senior academic official with responsibility for curriculum and academic affairs. Records show her meeting with Shuliak and helping shape the academic route through Columbia. Magnani later called her Shuliak’s mentor and wrote that she did the most to help Shuliak enter and complete dental school. In 2018, Magnani asked Epstein to consider a $450,000 gift for a project associated with her.

Columbia announced in 2026 that Moss-Salentijn would step down from administrative roles. She retained her tenured faculty position. The available record supports institutional involvement and fundraising contact, not a claim that she provided dental treatment at Epstein properties.

James Fine

James Fine, a periodontist and senior Columbia administrator, appears in the clinical network as well as the 2012 and 2023 academic tracks. Fine worked at Magnani’s Columbia affiliated private practice from at least 2013. Columbia Daily Spectator reporting states that Fine and Magnani both provided dental care to Epstein or his associates, although the publicly available reporting does not supply a complete patient list, treatment history, or billing record.

In 2012, Magnani told Epstein that Fine would learn what material Shuliak would be tested on. A Columbia Daily Spectator investigation characterized Fine’s assistance as helping Shuliak cheat on the transfer examination, citing advance information about what she would be tested on and related communications. Fine did not respond to the newspaper’s requests for comment. The released message itself says the examination was required to keep the process “on the up and up,” so the strongest allegation should remain attributed to the Spectator rather than presented as an adjudicated finding. Reporting also says Fine helped arrange an internship for Shuliak at the private practice where he and Magnani worked.

In 2023, Fine recommended Shuliak for the postdoctoral general dentistry program that fell within his administrative portfolio. He reportedly gave her his highest recommendation. Columbia later announced that Fine would leave his senior administrative post while remaining a faculty member and program director. Public reporting did not establish a finding that his recommendation was criminal.

Martin Davis

Martin Davis was a pediatric dentist and senior associate dean for student and alumni affairs. In April 2011, he agreed to arrange a special tour after Groff invoked Epstein and Magnani. His reply acknowledged that a favor might be made because Magnani worked hard for Columbia. Other records show Davis following up on whether Shuliak remained interested and whether she was taking relevant courses. Davis left Columbia in 2015.

Richard Lichtenthal

Richard Lichtenthal was a dentist and senior academic figure. He met or planned to meet with Shuliak, directed her to Moss-Salentijn, provided details and study material for an admissions examination, and continued cordial contact after her graduation. Records report gifts including a food basket and a Metropolitan Opera gift card. He retired from Columbia in 2021.

Laureen Zubiaurre

Laureen Zubiaurre was an admissions official and dental educator. She issued Shuliak’s initial rejection in February 2012. That fact distinguishes her early role from those who tried to reverse or work around the decision. In 2023, however, she reportedly joined Fine and Magnani in recommending Shuliak for the postdoctoral program. The two events should not be collapsed into a single description.

Christian Stohler

Christian Stohler became dean in 2013, after Shuliak’s initial admission. Records show Magnani arranging a dinner involving Epstein and Stohler and later fundraising discussions that included the possibility of a very large naming gift for a dental school building. Columbia officials did not approve the proposed major naming gift after donor vetting. Stohler’s presence belongs to the later cultivation and fundraising history, not the 2012 admission decision.

Ronnie Myers

Ronnie Myers, a pediatric dentist, served as interim dean after Lamster and before Stohler. His term overlapped with Shuliak’s early enrollment rather than the initial February to May 2012 decision sequence led under Lamster. Publicly indexed records place Myers in school events and discussions, but the evidence reviewed for this article does not establish that he personally reversed the rejection, supplied exam information, solicited Epstein, or treated Epstein. He should be included in the institutional chronology without being elevated into a direct intermediary on the present record.

Vicky Evangelidis-Sakellson

Vicky Evangelidis-Sakellson directed Columbia’s Postdoctoral Advanced Education in General Dentistry program completed by Shuliak in 2025. Columbia’s graduation program confirms her directorship and lists Shuliak among the residents. A graduation video shows Evangelidis-Sakellson on stage when staff briefly could not locate Shuliak’s diploma. Those facts establish program administration and ordinary graduation contact. They do not establish that Evangelidis-Sakellson participated in the 2012 irregular admission, sponsored the 2023 application, knew Epstein, or took part in his private dental arrangements.

Sara Patterson

Sara Patterson was a senior finance administrator rather than a dentist. She wrote to Epstein about the dental school’s development ambitions and a proposed new building. Her role belongs in the financial and institutional network but not on a list of dental practitioners.

Laureen Zubiaurre’s initial rejection and the importance of boundaries

The record illustrates why individual roles must be stated precisely. Zubiaurre initially rejected Shuliak but later recommended her. Stohler was not dean during the admission but later participated in donor cultivation. Davis arranged access but did not make the final admission decision alone. Patterson discussed finance rather than clinical care. A network article that labels all of them “Epstein’s dentists” would be inaccurate.

The 2023 Postdoctoral Admission and 2025 Graduation

Shuliak’s return to Columbia is a separate institutional episode. By 2023, Epstein had been dead for four years and his crimes and relationship with Shuliak were matters of broad public record. She applied to an Advanced Education in General Dentistry program, a postgraduate pathway that could satisfy requirements relevant to New York licensure.

Fine, Magnani, and Zubiaurre reportedly supplied strong recommendations. Fine oversaw postdoctoral education, which created an institutional conflict question even if the application otherwise met formal requirements. Shuliak completed the program in 2025 and obtained a New York dental license later that year.

The 2023 admission matters for three reasons. First, it shows that the professional network continued to assist Shuliak long after Epstein’s death. Second, some of the same people who appeared in the 2012 record reappeared. Third, Columbia’s initial 2026 statement focused on the earlier irregular admission, while later reporting exposed the postdoctoral episode and Fine’s role.

No public record identified for this article shows that Shuliak was academically unqualified for the 2023 program. The central questions concern disclosure, conflicts, recommendations, institutional review, and whether Columbia adequately examined a candidate whose original degree had resulted from a process the university later disavowed.

Donations, Tuition, and Fundraising

Money linked Epstein’s personal request to the dental school’s institutional ambitions.

Amount or proposal	Date	Description	Status
Major naming gift, reported in discussions as high as $50 million	2012 to 2013	Proposal connected to a new dental school building and possible naming opportunity	Not approved after university level vetting
$100,000	August 2012	Epstein directed funds supporting an Ira Lamster related initiative or fund	Confirmed in released correspondence and reporting
$50,000	2014	Donation reportedly made in Shuliak’s name	Confirmed in reporting
Additional smaller gifts bringing identified total to $210,000	Various	Columbia’s institutional total for donations from Epstein related entities	Confirmed by Columbia
$450,000 request	2018	Magnani asked Epstein to support a project associated with Moss-Salentijn	Solicited; public record reviewed does not establish that it was paid
Tuition and education expenses	2012 onward	Epstein supported Shuliak’s dental education and related living or travel costs	Widely documented, but a complete audited total is not public

Columbia’s figure of $210,000 should be used instead of adding selected public payments and assuming the result is complete. In 2026, the university announced two contributions of $105,000 each to New York organizations supporting survivors of sexual abuse and human trafficking.

The donation history does not by itself prove a contractual exchange for admission. It does establish that admissions assistance and donor cultivation occurred in the same period, and Columbia itself concluded that the coincidence violated its standards.

Licenses and Reported Practice Locations

Jurisdiction	Publicly reported status	Known location or practice	Limits
New Mexico	General dentistry license issued August 14, 2015; reportedly active until about 2021	Proposed “Zorro Smiles,” 49 Zorro Ranch Road, Stanley	No formal dental business license located, no complaints on file, and no evidence found by the Commission that Shuliak practiced there
United States Virgin Islands	Reportedly licensed after Columbia graduation	A résumé reportedly described a practice owned or operated by Shuliak on St. Thomas	Full licensing file, practice name, patient roster, and operating history remain incomplete in the public record reviewed
Florida	Reportedly licensed	No verified independent practice location identified for this article	License status is reported by dental trade press, but property based practice details are unresolved
New York	License reportedly obtained in November 2025 after postgraduate training	Part time work reported at a downtown Brooklyn practice	Later employment status is unclear

The New Mexico licensing file is the most consequential because it names an Epstein residence as a proposed professional site. Then board chair Burrell Tucker approved the license in an August 12, 2015 email. The state licensing department later explained that the governing statute did not authorize it to regulate the establishment of a practice location. A license to practice therefore did not amount to approval of Zorro Ranch as a compliant dental clinic.

The licensing department reported no complaints against Shuliak. Absence of a complaint is not proof that a practice operated properly, but it is also inconsistent with claims that state dental regulators had documented patient allegations against her.

Zorro Smiles and Zorro Ranch

“Zorro Smiles” appears in Shuliak’s July 7, 2015 New Mexico application as the proposed name of a practice at 49 Zorro Ranch Road. No separate New Mexico business registration or dental facility license establishing an operating clinic was located by the New Mexico Commission.

The physical and email evidence nevertheless shows that dental equipment was contemplated or present at the ranch:

Evidence	What it supports	What it does not establish
Proposed practice name and ranch address	Intent to associate a dental practice with Zorro Ranch	That the practice opened, treated patients, or billed for care
Epstein instruction to unplug a dental chair pump	A chair system or pump was present or expected at the ranch	Who used it, why, or on whom
Request for oxygen for a New Mexico dental office	Epstein and Shuliak planned or maintained dental capability involving oxygen	The exact procedure, equipment configuration, or legality of use
Reference to traveling with anesthetic	Dental or medical material was transported	The substance, dose, patient, consent, or procedure
Continuing education in cosmetic dentistry and anterior esthetics	Shuliak pursued training relevant to cosmetic dental work	That she performed such work at the ranch
Survivor accounts of awakening near medical equipment, as summarized by the Commission	A serious line of inquiry exists concerning medical settings	That the equipment was dental, that Shuliak was present, or that the accounts describe the same room

The New Mexico Commission placed the subject under its “Medical and Scientific Improprieties” investigative area and subpoenaed records concerning medical, dental, and ambulance services. It stressed that the relationship between survivor accounts and Shuliak’s dental instrumentation was unknown.

Rye Howard Stone’s investigation of a licensed reflexologist who worked at Zorro Ranch adds context to the private service environment. According to the released records analyzed in that report, the reflexologist visited the ranch repeatedly between 1999 and 2008. When a reporter contacted her in 2011, ranch personnel rapidly reported the contact through Epstein’s internal chain. The FBI did not interview her until 2021. She was not a dentist, and the reporting does not connect her to Shuliak or the dental equipment. It does show that health and wellness providers entered the ranch through a tightly monitored household system and that potentially knowledgeable service providers were interviewed years late, if at all.

That last point is central. The evidence justifies investigation. It does not justify presenting the most disturbing possible explanation as a settled fact.

Dental Rooms and Equipment at Epstein Properties

Dental chairs or dental treatment rooms appear in records connected to at least three locations.

New Mexico

Emails refer to the chair pump, oxygen, anesthetic, and a proposed practice at Zorro Ranch. Unlike the New York and Palm Beach residences, Zorro Ranch was not searched close in time to Epstein’s 2019 arrest. New Mexico authorities did not search it until 2026, leaving a major preservation gap.

Palm Beach

Video from the 2005 police search of Epstein’s Palm Beach house reportedly shows a room containing a dental chair and associated equipment. This predates Shuliak’s Columbia graduation by about a decade and proves that Epstein’s interest in private dental facilities was not created solely for her professional career.

Little Saint James

Images taken by United States Virgin Islands authorities in 2020 and later released through congressional investigation show a room with a dental chair and multiple male face masks mounted on the walls. The images establish the room’s appearance after Epstein’s death. They do not identify the operator, patients, dates of use, or procedures.

Evidence photographs

Several released image identifiers have been associated with dental furniture or rooms, including EFTA00001854, EFTA00173122, HOUSE_OVERSIGHT_034651, and HOUSE_OVERSIGHT_034653. EFTA00173122 shows a detached upholstered chair or treatment table in a storage or evidence setting. Without a complete chain of custody and location record, its original property and clinical use should not be assumed from appearance alone.

The presence of private dental rooms may have ordinary explanations, including convenience, privacy, cosmetic treatment, or service for residents and guests. In Epstein’s case, the secrecy of the properties, his control over young women, the use of assistants to arrange care, and survivor accounts make the rooms legitimate subjects for forensic and investigative scrutiny.

Oxygen, Anesthetic, and Ambulances

Oxygen and anesthetic can be ordinary components of dental or medical practice. Their mention becomes significant because the proposed practice was inside a private residence tied to a sex trafficking operation and because the available record lacks ordinary clinic documentation.

The unresolved clinical questions include:

What substance did “anesthetic” refer to?
Was it local anesthetic, a sedative, a general anesthetic agent, or a colloquial reference to another product?
Who purchased, transported, stored, prescribed, and administered it?
What oxygen delivery and monitoring equipment was available?
Were controlled substance records, patient charts, consent forms, sterilization logs, or emergency protocols maintained?
Was a licensed dentist or anesthesia provider present for any procedure?

Epstein also paid nearly $51,000 for an ambulance in 2016, and an ambulance was associated with Little Saint James. The New Mexico investigation has sought ambulance records along with medical and dental records. An ambulance can serve legitimate emergency or remote property needs. Its presence does not prove dental sedation or abuse. It does add to evidence that Epstein maintained unusual private medical capacity across his properties.

Patients, Women in Epstein’s Orbit, and Consent

Public reporting says Shuliak corrected Epstein’s teeth and the teeth of young women around him, and that Epstein was highly concerned with appearance and dental presentation. The primary records now provide more than general scheduling evidence. They show Epstein or his staff arranging fillings, orthodontic consultations, Invisalign, root canals, and wisdom tooth extraction; receiving bills; deciding whether a consultation would be funded; and arranging transport after surgery.

Simon Ghraichy is a named example. In EFTA02097603, Groff wrote that Epstein thought Ghraichy should have his front teeth fixed and would pay the full cost. She offered Epstein’s New York dentist, an appointment, and direct billing. Related records show Magnani proposing fillings and a Lemchen orthodontic consultation, followed by Epstein approving the fillings but declining the consultation. Valeriya Planidska is named in records concerning $2,800 in dental work by Kaplan. Other patients are identified only by first name or are redacted, and their privacy should be preserved.

The files also show that Epstein’s office sometimes resisted responsibility. When Kaplan’s office sought payment for several root canals for Anisa, staff stated that they had not sent her there and that she was responsible. The contrast between authorized and disputed bills helps define the network: it operated through approval, referral, and payment decisions rather than through automatic coverage for everyone associated with Epstein.

The most important unanswered issue is consent. Epstein controlled housing, travel, education, immigration help, money, employment, and access to services for many women and girls. Even treatment that was clinically appropriate could occur inside a coercive environment if a patient believed refusal would threaten her safety, financial support, or status.

No public article should identify a person as a dental patient merely because she appears in Epstein’s calendar or traveled to a property. Patient status requires a direct appointment record, invoice, chart, testimony, or reliable report. Survivors’ medical privacy should also be respected even where a record exists.

The documented pattern supports careful analysis of dental care as a possible instrument of appearance control, patronage, or dependency. It does not establish that clinically indicated treatment was abusive, that providers knew of coercion, or that every person who accepted payment lacked meaningful choice.

Unsupported Claims About Tooth Extraction and Mutilation

A claim has circulated online that Shuliak or another dentist removed victims’ teeth so they could not bite Epstein. No verified evidence located for this article supports that allegation.

The claim is not established by:

A photograph of a dental chair.
An email mentioning anesthetic or oxygen.
Epstein’s reported interest in women having cosmetically attractive teeth.
The existence of a licensed dentist in his household.
A survivor account of awakening near unidentified medical equipment.

Evidence that could substantiate such a claim would include identified survivor testimony, dental charts, radiographs, surgical instruments with a documented chain of custody, prescription or controlled substance logs, invoices, contemporaneous messages describing extractions, or forensic examination. None of those has been made public in support of the biting claim.

The responsible conclusion is that Epstein maintained private dental capacity and that investigators have reason to examine how it was used. The extraction story remains unsupported and should not be repeated as fact.

Regulatory and Institutional Failures

The dental network exposes several layers of institutional vulnerability.

Admissions integrity

Senior dental school personnel gave unusual attention to an applicant connected to a wealthy prospective donor. Columbia later judged the process irregular and inconsistent with its standards.

Donor vetting

Epstein’s 2008 conviction was public. Some participants acknowledged knowing of it, although their descriptions minimized its seriousness. A proposed major gift was rejected, yet smaller donations and continued cultivation persisted.

Conflicts in the 2023 application

People involved in Shuliak’s earlier path later recommended her for postgraduate training. The available record raises questions about disclosure and independent review.

Professional licensing

New Mexico licensed Shuliak while her proposed practice address was a private ranch. Regulators said they lacked authority over the location itself. The case exposes a gap between licensing an individual and inspecting or authorizing a site.

Evidence preservation

The failure to search Zorro Ranch promptly after Epstein’s arrest and death reduced the chance of recovering patient files, drugs, equipment records, digital data, or forensic evidence close in time to the events.

Fragmented jurisdiction

The network crossed New York, Florida, New Mexico, and the United States Virgin Islands. Education records, professional licenses, property evidence, corporate payments, and criminal investigations sat in different systems. That fragmentation made it difficult for any single institution to see the whole pattern.

What Is Confirmed, What Is Probable, and What Remains Unknown

Question	Assessment
Was Thomas Magnani Epstein’s dentist?	Confirmed by records and multiple reports.
Was Marc Lemchen part of the dental network?	Confirmed. Appointment, treatment planning, invoice, and payment records connect his orthodontic practice to people whose care Epstein’s office coordinated.
Did Steven D. Kaplan treat Epstein?	Confirmed. Appointment and billing records concern Epstein’s own endodontic care, and other records concern root canals for people around him.
Did Harrison L. Chen provide oral surgery within the network?	Confirmed. Records identify his office, wisdom tooth extraction, and transport and aftercare coordinated through Epstein’s staff.
Did Stacy A. Spizuoco treat patients routed through Magnani’s office?	Confirmed. Records concern cavity care, fillings, Invisalign, payment approval, and transfer of an aligner case.
Did Epstein make treatment and payment decisions?	Confirmed in several records. He approved multiple bills and, in one documented exchange, authorized fillings while declining an orthodontic consultation.
Did Epstein and Magnani help Shuliak reach Columbia decision makers?	Confirmed.
Did Columbia admit Shuliak through an irregular process?	Confirmed by Columbia’s own 2026 statement.
Did Epstein related entities donate money to Columbia?	Confirmed. Columbia identified $210,000.
Was Shuliak a licensed dentist?	Confirmed in New Mexico and reported in the Virgin Islands, Florida, and New York.
Did she propose Zorro Smiles at Zorro Ranch?	Confirmed by the New Mexico licensing application.
Did Zorro Smiles operate as a normal dental business?	Not established. No formal business license or verified patient and billing history was located.
Was dental equipment present at Epstein properties?	Confirmed through emails, police video, and released photographs.
Did Shuliak practice at Zorro Ranch?	Not established. The New Mexico Commission found no evidence of actual practice.
Did she practice on St. Thomas?	Reported in a released résumé, but the full operating record remains incomplete.
Were women in Epstein’s orbit sent for dental care?	Supported by scheduling records and reporting, but no complete patient list is public.
Does a released record identify Michael Apa?	A September 9, 2020 interview memorandum identifies “Michael Appa” as the dentist connected to a witness’s account of painful dental surgeries in 2017. Michael Apa is the probable intended identity, but the spelling and lack of provider details prevent absolute confirmation.
Does the Michael Apa record prove an Epstein referral or payment?	No. The memorandum appears in the Epstein release and contains broader allegations involving Epstein, but it does not state who chose, scheduled, or paid the dentist.
Is dentist Larry Rosenthal directly linked to Epstein in the reviewed corpus?	No relevant primary record was located. Exact name hits concerned other people, and his documented relationship to Apa is professional lineage rather than evidence of an Epstein connection.
Was anesthetic used on victims without consent?	Unresolved. Public evidence does not establish this.
Were victims’ teeth removed to prevent biting?	Unsupported by the public evidence reviewed.
Did every Columbia official know Epstein’s full criminal history?	Not established. Some awareness of his conviction is documented.
Were all named dental academics part of Epstein’s personal network?	No. Roles ranged from direct intermediary to ordinary institutional contact.

Evidence Appearances

Record	Relevance
EFTA00529500	Cited by the New Mexico Commission in its account of Shuliak’s application and rejection.
EFTA01869481	Record concerning Shuliak’s educational background and lack of a completed bachelor’s degree.
EFTA01865510	Early dental school access and communications involving Epstein’s office.
EFTA00575537	Advice that Shuliak meet Letty Moss-Salentijn and discussion of a path forward.
EFTA00435063	Martin Davis and the special Columbia dental school tour.
EFTA02173516	Communication concerning Shuliak’s incomplete Belarusian dental education and possible Columbia coursework.
EFTA00538832	Donation evidence cited by the New Mexico Commission.
EFTA01612769	Magnani message concerning Fine and what Shuliak would be tested on.
EFTA01873991	Communication saying officials were moving arrangements to accommodate Shuliak and warning against drawing attention to the process.
EFTA01108696	Columbia transfer acceptance record.
EFTA02010930	Administrative coordination concerning registration, billing, clinic duties, identification, and related matters.
EFTA00934865	Lamster correspondence concerning advanced donor discussions and Epstein’s generosity.
EFTA01888184	Epstein instruction referring to a $100,000 payment from Enhanced.
EFTA02092906	Donation record associated with the $100,000 Lamster related fund and $50,000 gift in Shuliak’s name.
EFTA02386697	Lamster acknowledgment of Epstein related financial support.
EFTA01889339	Fund acknowledgment and dinner communication involving Lamster and Magnani.
EFTA02124517	Dinner coordination involving Epstein, Magnani, and Dean Christian Stohler.
EFTA00382044	Message about arranging a dinner with Epstein and the new Columbia dental dean.
EFTA00545218	2018 proposal and continuing fundraising relationship involving Moss-Salentijn.
EFTA02512066	Record associated with Shuliak and Laureen Zubiaurre.
EFTA02304812	Martin Davis follow up concerning Shuliak’s dental school plans.
EFTA01878349	Correspondence involving Laureen Zubiaurre and Epstein related contacts.
EFTA00521380	Continuing education in cosmetic dentistry and anterior esthetics, cited by the New Mexico Commission.
EFTA01927528	Dental appointment email distinguishing Magnani from a cleaning with “Ivy.”
EFTA02081423	Marc Lemchen’s Park Avenue practice address and telephone number.
EFTA01828096	Epstein approval of a $175 Lemchen invoice in June 2009.
EFTA02441182	$3,000 initial payment and proposed monthly payments for orthodontic care by Lemchen.
EFTA02142314	Karyna Shuliak appointment with Lemchen in March 2013.
EFTA02081510	Invisalign consultation process, oral examination, radiographs, and follow up involving Lemchen’s office.
EFTA02083754	Magnani proposes fillings and a Lemchen braces consultation for Simon Ghraichy; Epstein approves the fillings but declines the consultation.
EFTA00420454	Contact record identifying “Dentist Kaplan Dr. Steven.”
EFTA00419651	February 2012 appointment record placing Epstein with Kaplan at 119 West 57th Street.
EFTA02185079	Billing correspondence concerning Epstein’s root canal by Kaplan.
EFTA00834634	$2,500 root canal bill and request for Epstein’s payment approval.
EFTA01918748	$2,800 payment request for dental work Kaplan performed for Valeriya Planidska.
EFTA01859753	Disputed responsibility for Anisa’s root canal bills after treatment by Kaplan.
EFTA02559719	Follow up concerning an unpaid Kaplan root canal and an alternative charitable payment request.
EFTA02079288	Oral surgery instructions and the address of Dr. Chen’s office at 140 West 58th Street, Suite A.
EFTA02079325	Epstein asks that one of the women help a patient home after treatment by Chen.
EFTA02078727	Scheduling of wisdom tooth extraction and coordination with Magnani’s Invisalign plan.
EFTA02079604	Confirmation that three wisdom teeth were extracted.
EFTA02303176	Email signed by Stacy A. Spizuoco, DDS, concerning transfer of an Invisalign case.
EFTA00512139	Address book entry for Stacy Spizuoco.
EFTA02170932	Appointment with Spizuoco at Magnani’s office to treat a cavity.
EFTA01925495	Magnani proposes that Spizuoco repair two fillings and seeks Epstein’s approval.
EFTA02501659	$7,720 payment request that included $7,500 for Invisalign care with Spizuoco, followed by Epstein’s approval.
EFTA02097603	Groff offers Simon Ghraichy Epstein’s New York dentist, direct scheduling, and billing to Epstein after Epstein proposes fixing Ghraichy’s front teeth.
EFTA01614217	Exchange in which Epstein offers his New York dentist and says he will obtain the name of a London dentist.
EFTA02032268	Discussion of responsibility for an unpaid dentist in Tashkent.
EFTA01902193	Paul Krassner’s message about an unnamed oral surgeon, ten implants, and a $27,000 proposed cost.
EFTA01246230	Six page September 9, 2020 interview memorandum. On page 6, public stamp EFTA01246235 and internal stamp EFTA_00063076, a cooperating witness describes painful dental surgeries in 2017 and identifies “Michael Appa” as the dentist. The statement is an allegation recorded in interview notes, not a finding.
EFTA01790757	Ranch communication concerning a reporter’s contact with the licensed reflexologist and staff escalation of that contact.
EFTA00090036	FBI interview material concerning the reflexologist’s work at Zorro Ranch and the delay before investigators contacted her.
EFTA00099312	Testamentary record cited by the New Mexico Commission in connection with Shuliak.
EFTA00001854	Image record associated with a dental room and chair.
EFTA00173122	Image of an upholstered dental or treatment chair in an evidence or storage setting; original use and location require caution.
HOUSE_OVERSIGHT_034651	House Oversight image record associated with the Little Saint James dental room.
HOUSE_OVERSIGHT_034653	Additional House Oversight image record associated with the room and dental equipment.

These appearances document specific communications, images, or administrative acts. They do not prove that every person mentioned knew of Epstein’s abuse or participated in a crime.

Sources

Questions That Remain

Who received treatment in the dental rooms at Zorro Ranch, Palm Beach, Little Saint James, New York, or any other Epstein property?
Which licensed professional operated each dental chair, and during what dates?
Did patient charts, radiographs, consent forms, sterilization logs, prescriptions, controlled substance logs, or billing records exist?
What exact anesthetic did Epstein instruct Shuliak to carry, and where was it obtained?
What kind of oxygen equipment was purchased for New York and New Mexico, and who authorized its clinical use?
Did Zorro Smiles ever see a patient, collect a fee, submit an insurance claim, or maintain a bank account?
What was the name and operating history of the St. Thomas practice listed on Shuliak’s résumé?
Did Shuliak perform treatment at Little Saint James, and can surviving equipment be linked to her through purchase, maintenance, or scheduling records?
Who was “Ivy,” and what appointments did she provide to Epstein or people around him?
Which women or survivors were sent to Magnani’s practice, and were their expenses paid by Epstein or his entities?
Did any patient experience pressure, sedation, treatment without informed consent, or retaliation for refusing care?
Were dental services used as a benefit, grooming tool, appearance control mechanism, or means of dependency?
What did Florida and Virgin Islands regulators know about Shuliak’s practice settings and employment?
Why did New Mexico regulators not inspect or separately authorize the proposed ranch practice site?
What did Columbia’s 2026 investigation conclude about each person involved in the 2012 and 2023 admissions?
Did Columbia review Shuliak’s 2023 application for conflicts connected to her original irregular admission?
Were all Epstein related donations, tuition payments, gifts, and practice affiliations fully disclosed and audited?
Did law enforcement recover dental instruments, drugs, computers, appointment books, or patient data from any Epstein property?
Can the detached chair shown in EFTA00173122 be placed at a specific property through chain of custody records?
Will the New Mexico Survivors’ Truth Commission’s final report identify additional dental providers, patients, facilities, or evidence?
Can treatment records, billing, appointment messages, or licensing records confirm whether “Michael Appa” in EFTA01246230 means Michael Apa?
Who arranged and paid for the witness’s 2017 dental work, what procedures were performed, and who made the alleged statement about removing healthy teeth?
Can a complete ledger be reconstructed for treatment, referrals, invoices, and payments involving Magnani, Lemchen, Kaplan, Chen, Spizuoco, Fine, and unidentified providers?
Which patients treated by Lemchen, Kaplan, Chen, or Spizuoco were referred by Epstein, by Magnani, by Shuliak, or by household staff?
Which dental costs did Epstein refuse, dispute, or condition on work, travel, appearance, or another obligation?
Did the providers know that Epstein controlled money, housing, employment, education, or immigration assistance for any patient whose treatment he financed?
Who provided follow up care after Chen’s wisdom tooth extraction, and did the household maintain medication or recovery records?
What became of the transferred Invisalign case coordinated between Shuliak and Spizuoco?
Who were the unnamed London and Tashkent dentists mentioned in payment and referral messages, and did either receive money from Epstein or his entities?
Who was the unnamed oral surgeon discussed in Paul Krassner’s request for $13,000 toward implants, and was Epstein the intended payer?

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