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Licensing details for: 17541

Name: GLOW DNTL DENTAL OFFICE OF AMERA AL-FALEH, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: Amera AL-Faleh, DDS, INC.

Address of Record

23411 ALISO VIEJO PARKWAY SUITE D
Apt 432
California
ALISO VIEJO CA 92656
ORANGE county
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Practice Location

23411 ALISO VIEJO PARKWAY SUITE D
Suite D
ALISO VIEJO CA 92656
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Issuance Date

December 5, 2022

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
10:10:24 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AL-FALEH, AMERA

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: AL-FALEH, AMERA

License/Registration Type: Dentist License

License Number: 105621 Primary Status: Current - Active

Address :
23411 Aliso Viejo Pkwy
Suite D
ALISO VIEJO CA 92656-1532
ORANGE COUNTY

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