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Licensing details for: 1203

Name: SAN FERNANDO DENTAL CARE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

DENTAL OFFICE OF A R BAKER A DENTAL CORP
1315 SAN FERNANDO ROAD
SAN FERNANDO CA 91340
LOS ANGELES county
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Issuance Date

October 16, 1995

Expiration Date

July 31, 2008

Current Date / Time

December 15, 2025
10:46:13 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name 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

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