Dental Board of California
Licensing details for: 2852
Name: EL CAJON FAMILY DENTAL CENTER
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
2720 Fletcher Pkwy
EL CAJON CA 92020-2110
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GALLO, DONALD ALFRED
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: MECHAEL, SHATHA F
License/Registration Type: Dentist License
License Number: 47950 Primary Status: Current - Active
Address :
2720 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO COUNTY
