Dental Board of California
Licensing details for: 32267
Name: BAKER, BRUCE BAKHSHI
License Type: Dentist
Primary Status: Voluntary Surrendered
Previous Names: BAKHSHI, BEHROOZ ❖ BAKER, BRUCE B
Address of Record
PO BOX 669
POWAY CA 92074
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B BAKER, DDS, A PROFESSIONAL DENTAL
License/Registration Type: Additional Office Permit
License Number: 7741 Primary Status: Cancelled
Address :
1073 ROSS AVE, STE E
EL CENTRO CA 92243
IMPERIAL COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BAKER, SHARIATI & FARAJZADEH, A PROFESSIONAL DENTAL
License/Registration Type: Additional Office Permit
License Number: 8333 Primary Status: Cancelled
Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92591
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B. BAKER, DDS
License/Registration Type: Additional Office Permit
License Number: 7221 Primary Status: Cancelled
Address :
13422 POMERADO RD
STE 201
POWAY CA 92064
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BAKER & FARAJZADEH A PROF DENT CORP
License/Registration Type: Additional Office Permit
License Number: 5454 Primary Status: Cancelled
Address :
13983 MANGO DRIVE STE 104
DEL MAR CA 92014
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B BAKER, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8500 Primary Status: Cancelled
Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92591
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B. BAKER, DMD
License/Registration Type: Additional Office Permit
License Number: 5397 Primary Status: Cancelled
Address :
1271 ROSS AVENUE STE D
EL CENTRO CA 92243
IMPERIAL COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B. BAKER, DMD, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11667 Primary Status: Cancelled
Address :
27180 NEWPORT ROAD #3
MENIFEE CA 92584
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BRUCE B BAKER, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8499 Primary Status: Cancelled
Address :
646 MAIN STREET
EL CENTRO CA 92243
IMPERIAL COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: FARAJZADEH - BAKER, A PROFESSIONAL DENTAL CORP
License/Registration Type: Additional Office Permit
License Number: 7964 Primary Status: Cancelled
Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: A PRIVATE DENTAL GROUP, FARAJZADEH & BAKER
License/Registration Type: Fictitious Name Permit
License Number: 4335 Primary Status: Cancelled
Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &
License/Registration Type: Fictitious Name Permit
License Number: 5107 Primary Status: Cancelled
Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TEMECULA KIDS DENTAL CARE, DENTAL OFFICE OF BRUCE B. BAKER, DMD,
License/Registration Type: Fictitious Name Permit
License Number: 11468 Primary Status: Cancelled
Address :
42210 LYNDIE LANE
SUITE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN & PREVEN BAKER FARAJZADEH
License/Registration Type: Fictitious Name Permit
License Number: 352 Primary Status: Cancelled
Address :
15835 POMERADO ROAD STE 101
POWAY CA 92064
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: A POWAY DENTAL GROUP, FARAJZADEH & BAKER, A PROF DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 912 Primary Status: Cancelled
Address :
13422 POMERADO ROAD
POWAY CA 92064
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS DENTAL CARE, DENTAL OFFFICE OF BRUCE B. BAKER, DMD, A PROFES
License/Registration Type: Fictitious Name Permit
License Number: 11196 Primary Status: Expired
Address :
42210 LYNDIE LANE
SUITE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDS DENTAL CARE, DENTAL OFFICE OF BRUCE B. BAKER, DDS, A PROF. D
License/Registration Type: Fictitious Name Permit
License Number: 6517 Primary Status: Cancelled
Address :
13422 POMERADO ROAD
STE. 201
POWAY CA 92064
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DELMAR PROFESSIONAL DENTAL GROUP_BRUCE B BAKER EDWARD FARAJZADEH
License/Registration Type: Fictitious Name Permit
License Number: 597 Primary Status: Cancelled
Address :
13983 MANGO DRIVE
SUITE 104
DEL MAR CA 92014
SAN DIEGO 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: A PRIVATE DENTAL GROUP, FARAJZADEH & BAKER
License/Registration Type: Fictitious Name Permit
License Number: 4335 Primary Status: Cancelled
Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
SAN DIEGO 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: DELMAR PROFESSIONAL DENTAL GROUP_BRUCE B BAKER EDWARD FARAJZADEH
License/Registration Type: Fictitious Name Permit
License Number: 597 Primary Status: Cancelled
Address :
13983 MANGO DRIVE
SUITE 104
DEL MAR CA 92014
SAN DIEGO 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: CHILDREN & PREVEN BAKER FARAJZADEH
License/Registration Type: Fictitious Name Permit
License Number: 352 Primary Status: Cancelled
Address :
15835 POMERADO ROAD STE 101
POWAY CA 92064
SAN DIEGO 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: A POWAY DENTAL GROUP, FARAJZADEH & BAKER, A PROF DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 912 Primary Status: Cancelled
Address :
13422 POMERADO ROAD
POWAY CA 92064
SAN DIEGO 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: TEMECULA KIDS DENTAL CARE, DENTAL OFFICE OF BRUCE B. BAKER, DMD,
License/Registration Type: Fictitious Name Permit
License Number: 11468 Primary Status: Cancelled
Address :
42210 LYNDIE LANE
SUITE 100
TEMECULA CA 92591
RIVERSIDE 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: KIDS DENTAL CARE, DENTAL OFFFICE OF BRUCE B. BAKER, DMD, A PROFES
License/Registration Type: Fictitious Name Permit
License Number: 11196 Primary Status: Expired
Address :
42210 LYNDIE LANE
SUITE 100
TEMECULA CA 92591
RIVERSIDE 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: KIDS DENTAL CARE, DENTAL OFFICE OF BRUCE B. BAKER, DDS, A PROF. D
License/Registration Type: Fictitious Name Permit
License Number: 6517 Primary Status: Cancelled
Address :
13422 POMERADO ROAD
STE. 201
POWAY CA 92064
SAN DIEGO 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: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &
License/Registration Type: Fictitious Name Permit
License Number: 5107 Primary Status: Cancelled
Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: BAKER, BRUCE BAKHSHI
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 274 Primary Status: Cancelled
Address :
42210-100 LYNDIE LN
TEMECULA CA 92591
RIVERSIDE COUNTY
