Dental Board of California
Licensing details for: 39411
Name: HALDY, GLENN EDWARD
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated ❖ Prior Disciplinary Action
Previous Names: HALDY, GLEN ❖ HALDY, GLENN
Address of Record
1930 Capistrano St
SAN DIEGO CA 92106-1707
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAMILTON DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1859 Primary Status: Cancelled
Address :
1111 E TAHQUITZ CANYON WAY
SUITE 211
PALM SPRINGS CA 92262
RIVERSIDE COUNTY
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: HAMILTON DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 1859 Primary Status: Cancelled
Address :
1111 E TAHQUITZ CANYON WAY
SUITE 211
PALM SPRINGS CA 92262
RIVERSIDE COUNTY
