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Licensing details for: 18751

Name: WESTCHESTER DENTAL ARTS DENTAL OFFICE OF DR. IRFAN BAKER

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5602 W MANCHESTER AVE
LOS ANGELES CA 90045-4416
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Practice Location

5602 W MANCHESTER AVE
LOS ANGELES CA 90045-4416
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Issuance Date

July 12, 2024

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
9:59:13 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BAKER, IRFAN ANIS

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, IRFAN ANIS

License/Registration Type: Dentist License

License Number: 109578 Primary Status: Current - Active

Address :
5602 W Manchester Ave
LOS ANGELES CA 90045-4416

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