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Licensing details for: 3700

Name: BAKER, RYAN B

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: BAKER, RYAN BAKHSHI

Address of Record

27180 Newport Rd
#3
MENIFEE CA 92584-7385
RIVERSIDE county
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Practice Location

27180 Newport Rd
#3
MENIFEE CA 92584-7385
RIVERSIDE county
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Issuance Date

November 1, 2017

Expiration Date

March 31, 2020

Current Date / Time

April 16, 2026
12:54:07 PM

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, RYAN B

License/Registration Type: Dentist License

License Number: 64066 Primary Status: Current - Active

Address :
25906 Newport Rd
Suite 101
MENIFEE CA 92584
RIVERSIDE COUNTY

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