Dental Board of California
Licensing details for: 10755
Name: HILLSIDE FAMILY DENTAL CENTER, DENTAL PRACTICE OF ALAN G. MICHELS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: HILLSIDE FAMILY DENTAL CENTER, PRACTICE OF ALAN G. MICHELS, D.D.S., P.C.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MICHELS, ALAN G
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
