Dental Board of California
Licensing details for: 36334
Name: BASCH, ALEXANDER
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Accusation Filed ❖ Public Reprimand ❖ Reduced Renewal Fee
Address of Record
11760 CHIMINEAS AVE
PORTER RANCH CA 91326
LOS ANGELES 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: ALEXANDER BASCH, DDS
License/Registration Type: Additional Office Permit
License Number: 6012 Primary Status: Cancelled
Address :
1801 26TH STREET
BAKERSFIELD CA 93301
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GRANADA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3005 Primary Status: Expired
Address :
17815 CHATSWORTH STREET
GRANADA HILLS CA 91344
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: GRANADA DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 3005 Primary Status: Expired
Address :
17815 CHATSWORTH STREET
GRANADA HILLS CA 91344
LOS ANGELES COUNTY
