Dental Board of California
Licensing details for: 4147
Name: FACER, LUKE AVERETT
License Type: Oral Conscious Sedation
Primary Status: Expired
Specialty: Adult
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FACER HALES PARKER DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18267 Primary Status: Current - Active
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: FACER, LUKE AVERETT
License/Registration Type: Dentist License
License Number: 105681 Primary Status: Current - Active
Address :
27012 Floresta Ln
MISSION VIEJO CA 92691-5203
ORANGE COUNTY
