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Licensing details for: 3352

Name: AFFINITY DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5690 NORTH FRESNO STREET, SUTIE 101
FRESNO CA 93710
FRESNO county
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Issuance Date

September 6, 2001

Expiration Date

November 30, 2016

Current Date / Time

June 7, 2025
3:4:26 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GALLO, DONALD

Address Not Disclosed

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: 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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