Dental Board of California
Licensing details for: 6256
Name: COURTYARD FACIAL & ORAL SURGERY DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
3801 LAS POSAS RD
CAMARILLO CA 93010
VENTURA 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: BAKER, DAVID LORDEN
License/Registration Type: Dentist License
License Number: 35674 Primary Status: Deceased
Address :
3801 LAS POSAS RD STE 202
CAMARILLO CA 93010
VENTURA COUNTY
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: MORRISSETTE, MICHAEL P
License/Registration Type: Dentist License
License Number: 34167 Primary Status: Current - Active
Address :
2749 Loma Vista Rd
VENTURA CA 93003-1544
VENTURA COUNTY
