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Licensing details for: 8416

Name: BALDEN, GALLO, MICHELS PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

290 LANDIS, STE A & B
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

December 27, 2004

Expiration Date

October 31, 2005

Current Date / Time

June 7, 2025
2:2:15 PM

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: GALLO, DONALD ALFRED

License/Registration Type: Dentist License

License Number: 31040 Primary Status: Expired

Address :
328 Harbour Sound Ct
BRADENTON FL 34209-3261
MIAMI-DADE COUNTY

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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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