Dental Board of California
Licensing details for: 6771
Name: VALENCIA ORAL & MAXILLOFACIAL SURGERY/IMPLANT CENTER, DENTAL OFFI
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
23501 CINEMA DRIVE
STE. 111
VALENCIA CA 91355
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: 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
