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Licensing details for: 10039

Name: DR. DONALD A. GALLO AND DR ALAN G. MICHELS PROF. DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5250 LOUISE AVENUE
ENCINO CA 91316
LOS ANGELES county
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Practice Location

5250 LOUISE AVENUE
ENCINO CA 91316
LOS ANGELES county
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Issuance Date

October 29, 2009

Expiration Date

June 30, 2012

Current Date / Time

December 13, 2025
9:47:34 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: MICHELS, ALAN G

License/Registration Type: Dentist License

License Number: 19777 Primary Status: Current - Active

Address :
3529 Castleman Ln
BURBANK CA 91504-1663
LOS ANGELES COUNTY

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