Dental Board of California
Licensing details for: 848
Name: SAN FERNANDO DENTAL CARE DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
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: BAKER, ALLEN RONALD
License/Registration Type: Dentist License
License Number: 20609 Primary Status: Current - Active
Address :
500 San Fernando Mission Blvd
Ste 200
SAN FERNANDO CA 91340-4061
LOS ANGELES 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: GIMPLIN, LEONARD
License/Registration Type: Dentist License
License Number: 10726 Primary Status: Cancelled
Address :
9227 SHOSHONE AVE
NORTHRIDGE CA 91325
LOS ANGELES COUNTY
