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Licensing details for: 6303

Name: HILLCREST FAMILY DENTISTRY, DENTAL OFFICE OF GALLO, MICHELS,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: HILLCREST FAMILY DENTISTRY OF GALLO HILLCREST FAMILY DENTISTRY , DENTAL OFFICE OF GALLO, MICHELS, KORYUREK PROF. DENTAL CORP.

Address of Record

3330 THIRD AVE., STE. 400
SAN DIEGO CA 92103
SAN DIEGO county
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Issuance Date

July 8, 2006

Expiration Date

June 30, 2010

Current Date / Time

June 7, 2025
3:8:23 PM

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

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