Dental Board of California
Licensing details for: 18267
Name: FACER HALES PARKER DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
License Relationships
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: PARKER, LINCOLN CHARLES
License/Registration Type: Dentist License
License Number: 61389 Primary Status: Current - Active
Address :
777 Corporate Dr
SUITE 100
LADERA RANCH CA 92694-2135
ORANGE COUNTY
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: FACER, LUKE AVERETT
License/Registration Type: Dentist License
License Number: 105681 Primary Status: Current - Active
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
ORANGE COUNTY
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: HALES, TYLER
License/Registration Type: Dentist License
License Number: 100778 Primary Status: Current - Active
Address :
777 Corporate Dr Ste 100
LADERA RANCH CA 92694-2138
