Dental Board of California
Licensing details for: 19242
Name: L.A. CHILDREN'S DENTAL DENTAL GROUP OF DR. JOSHUA BAEK
License Type: Fictitious Name Permit
Primary Status: Current - Active
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: 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
