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Licensing details for: 11667

Name: BRUCE B. BAKER, DMD, A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: BRUCE B. BAKER DMD APDC

Address of Record

27180 NEWPORT ROAD #3
MENIFEE CA 92584
RIVERSIDE county
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Practice Location

27180 NEWPORT ROAD #3
MENIFEE CA 92584
RIVERSIDE county
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Issuance Date

January 26, 2015

Expiration Date

March 31, 2018

Current Date / Time

June 7, 2025
4:59:54 AM

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, 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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