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Licensing details for: 7741

Name: BRUCE B BAKER, DDS, A PROFESSIONAL DENTAL

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1073 ROSS AVE, STE E
EL CENTRO CA 92243
IMPERIAL county
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Issuance Date

July 26, 2002

Expiration Date

March 31, 2006

Current Date / Time

December 13, 2025
9:47:24 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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