Dental Board of California
Licensing details for: 14939
Name: SOCAL ORTHODONTICS DENTAL GROUP OF GARRETT DACKER, DDS, INC
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: DACKER, GARRETT Y
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: DACKER, GARRETT Y
License/Registration Type: Dentist License
License Number: 100132 Primary Status: Current - Active
Address :
1365 Pebble Springs Ln
GLENDORA CA 91741-2353
LOS ANGELES COUNTY
