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Licensing details for: 44528

Name: GALLEGLY, ELIZABETH THIEN-HUONG

License Type: Dentist

Primary Status: Current - Active

Previous Names: PHAM, ELIZABETH THIEN-HUONG PHAM, ELIZABETH THIEN HUONG

Address of Record

3817 Eagle Flight Dr
SIMI VALLEY CA 93065-0219
VENTURA county
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Practice Location

9700 Reseda Blvd Ste 207
NORTHRIDGE CA 91324-5505
LOS ANGELES county
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Issuance Date

August 7, 1997

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
3:9:20 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NORTHRIDGE FAMILY DENTISTRY, DENTAL PRACTICE OF DR. ELIZABETH GAL

License/Registration Type: Fictitious Name Permit

License Number: 9320 Primary Status: Cancelled

Address :
18251 ROSCOE BOULEVARD
STE. 201A
NORTHRIDGE CA 91325
LOS ANGELES COUNTY

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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: NORTHRIDGE FAMILY DENTISTRY, DENTAL PRACTICE OF DR. ELIZABETH GAL

License/Registration Type: Fictitious Name Permit

License Number: 9320 Primary Status: Cancelled

Address :
18251 ROSCOE BOULEVARD
STE. 201A
NORTHRIDGE CA 91325
LOS ANGELES COUNTY

Map

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