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Licensing details for: 650

Name: GALLEZ, FABRICE JACQUES

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

2581 Samaritan Dr
STE 310
SAN JOSE CA 95124
SANTA CLARA county
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Practice Location

370 W. Dunne Ave
#5
MORGAN HILL CA 95037
SANTA CLARA county
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550 Water Street
K3
SANTA CRUZ CA 95060
SANTA CRUZ county
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Issuance Date

January 8, 2009

Expiration Date

May 31, 2024

Current Date / Time

June 6, 2025
9:48:37 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: GALLEZ, FABRICE JACQUES

License/Registration Type: Dentist License

License Number: 48268 Primary Status: Current - Active

Address :
370 W. Dunne Ave
#5
370 W. Dunne Ave, #5
MORGAN HILL CA 95037
SANTA CLARA COUNTY

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