Dental Board of California
Licensing details for: 48268
Name: GALLEZ, FABRICE JACQUES
License Type: Dentist
Primary Status: Current - Active
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: FABRICE J. GALLEZ, DDS, MS, INC.
License/Registration Type: Additional Office Permit
License Number: 80987 Primary Status: Current - Active
Address :
550 WATER ST, K3
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY
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: FABRICE J. GALLEZ, DDS, MS, INC.
License/Registration Type: Additional Office Permit
License Number: 80221 Primary Status: Current - Active
Address :
370 W DUNNE AVE, #5
MORGAN HILL CA 95037
SANTA CLARA COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: GALLEZ, FABRICE JACQUES
License/Registration Type: Conscious Sedation Permit
License Number: 650 Primary Status: Cancelled
Address :
370 W. Dunne Ave
#5
MORGAN HILL CA 95037
SANTA CLARA COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: GALLEZ, FABRICE JACQUES
License/Registration Type: Moderate Sedation Permit
License Number: 412 Primary Status: Current - Active
Address :
2581 SAMARITAN DR. STE 310
SAN JOSE CA 95124
SANTA CLARA COUNTY
