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Licensing details for: 109578

Name: BAKER, IRFAN ANIS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

5602 W Manchester Ave
LOS ANGELES CA 90045-4416
LOS ANGELES county
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Practice Location

5602 W Manchester Ave
LOS ANGELES CA 90045-4416
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Issuance Date

October 11, 2023

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
2:59:51 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESTCHESTER DENTAL ARTS DENTAL OFFICE OF DR. IRFAN BAKER

License/Registration Type: Fictitious Name Permit

License Number: 18751 Primary Status: Current - Active

Address :
5602 W MANCHESTER AVE
LOS ANGELES CA 90045-4416

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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: WESTCHESTER DENTAL ARTS DENTAL OFFICE OF DR. IRFAN BAKER

License/Registration Type: Fictitious Name Permit

License Number: 18751 Primary Status: Current - Active

Address :
5602 W MANCHESTER AVE
LOS ANGELES CA 90045-4416

Map

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