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Licensing details for: 19777

Name: MICHELS, ALAN G

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Radiation Safety Certification issued by the Board

Address of Record

3529 Castleman Ln
BURBANK CA 91504-1663
LOS ANGELES county
Map

Issuance Date

January 1, 1968

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
11:30:18 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: GALLO, MICHELS, KORYUREK, PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 9151 Primary Status: Cancelled

Address :
3330 THIRD AVE., STE. 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: BALDEN, GALLO, MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 8416 Primary Status: Cancelled

Address :
290 LANDIS, STE A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: GALLO MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 7797 Primary Status: Cancelled

Address :
8881 FLETCHER PKWY, #325-335
LA MESA CA 91942
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: AZAR, GALLO, MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 8503 Primary Status: Cancelled

Address :
290 LANDIS, STE A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: A MICHELS, G GHOLDOIAN AND D GALLO PROFESSIONAL DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7890 Primary Status: Cancelled

Address :
15706 POMERADO RD, #201
POWAY CA 92064
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: DR. DONALD A. GALLO AND DR ALAN G. MICHELS PROF. DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 10039 Primary Status: Cancelled

Address :
5250 LOUISE AVENUE
ENCINO CA 91316
LOS ANGELES COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: GALLO MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 7798 Primary Status: Cancelled

Address :
690 E STREET
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: A MICHAELS, G GHOLDOIAN, AND D GALLO PROFESSIONAL DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7896 Primary Status: Cancelled

Address :
2720 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: GALLO MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 8457 Primary Status: Cancelled

Address :
10645 TIERRASANTA BLVD, STE B
SAN DIEGO CA 92124
SAN DIEGO COUNTY

Map

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: GALLO MICHELS PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 7796 Primary Status: Cancelled

Address :
3330 THIRD AVE, #400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH BAY CHULA VISTA FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5311 Primary Status: Cancelled

Address :
290 LANDIS, STE A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFFINITY DENTAL OF LA MESA, DENTAL OFFICE OF GALLO-MICHAELS PROF.

License/Registration Type: Fictitious Name Permit

License Number: 8459 Primary Status: Cancelled

Address :
8881 FLETCHER PKWY.
STE. 325
LA MESA CA 91942
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: POWAY FAMILY DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 2810 Primary Status: Cancelled

Address :
15706 POMERADO ROAD SUITE 201
POWAY CA 92064
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EL CAJON FAMILY DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 3974 Primary Status: Cancelled

Address :
700 N JOHNSON BLVD, STE P
EL CAJON CA 92020
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TIERRA TOWNE CENTER DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 5395 Primary Status: Cancelled

Address :
10645 TIERRASANTA BLVD, STE B
SAN DIEGO CA 92124
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HILLCREST FAMILY DENTISTRY, DENTAL OFFICE OF GALLO, MICHELS,

License/Registration Type: Fictitious Name Permit

License Number: 6303 Primary Status: Cancelled

Address :
3330 THIRD AVE., STE. 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFFINITY DENTAL OF HILLCREST, DENTAL OFFICE OF GALLO, MICHELS, KO

License/Registration Type: Fictitious Name Permit

License Number: 8462 Primary Status: Cancelled

Address :
3330 THIRD AVE.
STE. 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LA MESA FAMILY DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 3959 Primary Status: Cancelled

Address :
8881 FLETCHER PKWY, #325-335
LA MESA CA 91942
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFFINITY DENTAL OF SOUTHBAY, DENTAL OFFICE OF DR. DONALD A. GALLO

License/Registration Type: Fictitious Name Permit

License Number: 8460 Primary Status: Cancelled

Address :
290 LANDIS AVE.
STE. A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HILLSIDE FAMILY DENTAL CENTER, DENTAL PRACTICE OF ALAN G. MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 10755 Primary Status: Cancelled

Address :
4990 70TH STREET
SAN DIEGO CA 92115
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HILLCREST FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3958 Primary Status: Cancelled

Address :
3330 THIRD AVE, STE 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AFFINITY DENTAL OF LA MESA, DENTAL OFFICE OF ALAN G. MICHELS, D.D

License/Registration Type: Fictitious Name Permit

License Number: 11450 Primary Status: Expired

Address :
8881 FLETCHER PKWY #325
LA MESA CA 91942
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHULA VISTA FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3965 Primary Status: Cancelled

Address :
690 E STREET
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ANTELOPE VALLEY DENTAL GROUP,

License/Registration Type: Fictitious Name Permit

License Number: 3560 Primary Status: Cancelled

Address :
38655 9TH STREET EAST
PALMDALE CA 93550
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MICHELS FAMILY DENTAL, OFFICE OF ALAN G. MICHELS, D.D.S., P.C.

License/Registration Type: Fictitious Name Permit

License Number: 11187 Primary Status: Cancelled

Address :
8375 UNIVERSITY AVENUE
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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: LA MESA FAMILY DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 3959 Primary Status: Cancelled

Address :
8881 FLETCHER PKWY, #325-335
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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: AFFINITY DENTAL OF SOUTHBAY, DENTAL OFFICE OF DR. DONALD A. GALLO

License/Registration Type: Fictitious Name Permit

License Number: 8460 Primary Status: Cancelled

Address :
290 LANDIS AVE.
STE. A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

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: AFFINITY DENTAL OF HILLCREST, DENTAL OFFICE OF GALLO, MICHELS, KO

License/Registration Type: Fictitious Name Permit

License Number: 8462 Primary Status: Cancelled

Address :
3330 THIRD AVE.
STE. 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

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: HILLCREST FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3958 Primary Status: Cancelled

Address :
3330 THIRD AVE, STE 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

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: ANTELOPE VALLEY DENTAL GROUP,

License/Registration Type: Fictitious Name Permit

License Number: 3560 Primary Status: Cancelled

Address :
38655 9TH STREET EAST
PALMDALE CA 93550
LOS ANGELES COUNTY

Map

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: TIERRA TOWNE CENTER DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 5395 Primary Status: Cancelled

Address :
10645 TIERRASANTA BLVD, STE B
SAN DIEGO CA 92124
SAN DIEGO COUNTY

Map

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: HILLCREST FAMILY DENTISTRY, DENTAL OFFICE OF GALLO, MICHELS,

License/Registration Type: Fictitious Name Permit

License Number: 6303 Primary Status: Cancelled

Address :
3330 THIRD AVE., STE. 400
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

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: AFFINITY DENTAL OF LA MESA, DENTAL OFFICE OF GALLO-MICHAELS PROF.

License/Registration Type: Fictitious Name Permit

License Number: 8459 Primary Status: Cancelled

Address :
8881 FLETCHER PKWY.
STE. 325
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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: EL CAJON FAMILY DENTAL OFFICE OF GALLO MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 3974 Primary Status: Cancelled

Address :
700 N JOHNSON BLVD, STE P
EL CAJON CA 92020
SAN DIEGO COUNTY

Map

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: CHULA VISTA FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3965 Primary Status: Cancelled

Address :
690 E STREET
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

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: SOUTH BAY CHULA VISTA FAMILY DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5311 Primary Status: Cancelled

Address :
290 LANDIS, STE A & B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

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: AFFINITY DENTAL OF LA MESA, DENTAL OFFICE OF ALAN G. MICHELS, D.D

License/Registration Type: Fictitious Name Permit

License Number: 11450 Primary Status: Expired

Address :
8881 FLETCHER PKWY #325
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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: POWAY FAMILY DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 2810 Primary Status: Cancelled

Address :
15706 POMERADO ROAD SUITE 201
POWAY CA 92064
SAN DIEGO COUNTY

Map

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: MICHELS FAMILY DENTAL, OFFICE OF ALAN G. MICHELS, D.D.S., P.C.

License/Registration Type: Fictitious Name Permit

License Number: 11187 Primary Status: Cancelled

Address :
8375 UNIVERSITY AVENUE
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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: HILLSIDE FAMILY DENTAL CENTER, DENTAL PRACTICE OF ALAN G. MICHELS

License/Registration Type: Fictitious Name Permit

License Number: 10755 Primary Status: Cancelled

Address :
4990 70TH STREET
SAN DIEGO CA 92115
SAN DIEGO COUNTY

Map

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