
Dental Board of California
Licensing details for: 11238
Name: ALLEN RONALD BAKER, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: BAKER, ALLEN RONALD
License/Registration Type: Dentist License
License Number: 20609 Primary Status: Current - Active
Address :
500 San Fernando Mission Blvd
Ste 200
SAN FERNANDO CA 91340-4061
LOS ANGELES COUNTY