Dental Board of California
Licensing details for: 8499
Name: BRUCE B BAKER, DDS, A PROFESSIONAL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
646 MAIN STREET
EL CENTRO CA 92243
IMPERIAL county
Map
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
