Dental Board of California
Licensing details for: 14131
Name: BAKER PEDIATRIC DENTAL CARE, DENTAL OFFICE OF RYAN B. BAKER, DMD APC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
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, RYAN B
License/Registration Type: Dentist License
License Number: 64066 Primary Status: Current - Active
Address :
25906 Newport Rd
Suite 101
MENIFEE CA 92584
RIVERSIDE COUNTY
