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Licensing details for: 80987

Name: FABRICE J. GALLEZ, DDS, MS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

550 WATER ST, K3
SANTA CRUZ CA 95060
SANTA CRUZ county
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Practice Location

550 WATER ST, K3
SANTA CRUZ CA 95060
SANTA CRUZ county
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Issuance Date

July 12, 2021

Expiration Date

May 31, 2026

Current Date / Time

June 7, 2025
3:52:56 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: 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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