Dental Board of California
Licensing details for: 35674
Name: BAKER, DAVID LORDEN
License Type: Dentist
Primary Status: Deceased
Secondary Status: Early Termination of Probation
Address of Record
3801 LAS POSAS RD STE 202
CAMARILLO CA 93010
VENTURA 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: DAVID L BAKER DDS A PROFESSIONAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 5473 Primary Status: Cancelled
Address :
329 WEST C ST
TEHACHAPI CA 93561
KERN 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: DAVID L. BAKER, DDS, A PROF. DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 10665 Primary Status: Cancelled
Address :
868 AUTO CENTER DR., STE. A
PALMDALE CA 93551
LOS ANGELES 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: DAVID L. BAKER, DDS, A PROF. CORP.
License/Registration Type: Additional Office Permit
License Number: 10673 Primary Status: Cancelled
Address :
23501 CINEMA DR., STE. 111
VALENCIA CA 91355
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: COURTYARD FACIAL & ORAL SURGERY DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 6256 Primary Status: Cancelled
Address :
3801 LAS POSAS RD
CAMARILLO CA 93010
VENTURA 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: VALENCIA ORAL & MAXILLOFACIAL SURGERY/IMPLANT CENTER, DENTAL OFFI
License/Registration Type: Fictitious Name Permit
License Number: 6771 Primary Status: Cancelled
Address :
23501 CINEMA DRIVE
STE. 111
VALENCIA CA 91355
LOS ANGELES COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: BAKER, DAVID LORDEN
License/Registration Type: General Anesthesia Permit
License Number: 966 Primary Status: Deceased
Address :
3801 LAS POSAS RD #202
CAMARILLO CA 93010
VENTURA COUNTY
