Dental Board of California
Licensing details for: 105681
Name: FACER, LUKE AVERETT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
27012 Floresta Ln
MISSION VIEJO CA 92691-5203
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FACER HALES PARKER DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18267 Primary Status: Current - Active
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FACER HALES PARKER DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18267 Primary Status: Current - Active
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: FACER, LUKE AVERETT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4147 Primary Status: Expired
Address :
26302 La Paz Rd Ste 110
MISSION VIEJO CA 92691-5327
ORANGE COUNTY
