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Licensing details for: 274

Name: BAKER, BRUCE BAKHSHI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

42210-100 LYNDIE LN
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

December 28, 2000

Expiration Date

March 31, 2008

Current Date / Time

June 7, 2025
4:49:54 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: BAKER, BRUCE BAKHSHI

License/Registration Type: Dentist License

License Number: 32267 Primary Status: Voluntary Surrendered

Address :
PO BOX 669
POWAY CA 92074
SAN DIEGO COUNTY

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