Dental Board of California
Licensing details for: 100132
Name: DACKER, GARRETT Y
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1365 Pebble Springs Ln
GLENDORA CA 91741-2353
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOCAL ORTHODONTICS DENTAL GROUP OF GARRETT DACKER, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14939 Primary Status: Current - Active
Address :
613 N. AZUSA AVE, SUITE A
AZUSA CA 91702
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SOCAL ORTHODONTICS DENTAL GROUP OF GARRETT DACKER, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14939 Primary Status: Current - Active
Address :
613 N. AZUSA AVE, SUITE A
AZUSA CA 91702
LOS ANGELES COUNTY
