Dental Board of California
Licensing details for: 61
Name: GIMPLIN-BAKER SAN FERN FAM DNT GRP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
1315 SAN FERNANDO ROAD
SAN FERNANDO CA 91340
LOS ANGELES county
Map
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: GIMPLIN, LEONARD
License/Registration Type: Dentist License
License Number: 10726 Primary Status: Cancelled
Address :
9227 SHOSHONE AVE
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
