Dental Board of California
Licensing details for: 13518
Name: SPECIALTY CENTER OF SAN FERNANDO, AN S.R. BAKER, D.D.S. DENTAL GROUP CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BAKER, ALLEN RONALD
Address Not Disclosed
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
