Dental Board of California
Licensing details for: 18629
Name: S.F. CHILDREN'S DENTAL DENTAL GROUP OF BAEK D.D.S. 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: BAEK, JOSHUA S
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: BAEK, JOSHUA S
License/Registration Type: Dentist License
License Number: 103985 Primary Status: Current - Active
Address :
7604 Reseda Blvd
RESEDA CA 91335-2822
LOS ANGELES COUNTY
