Dental Board of California
Licensing details for: 8462
Name: AFFINITY DENTAL OF HILLCREST, DENTAL OFFICE OF GALLO, MICHELS, KO
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3330 THIRD AVE.
STE. 400
SAN DIEGO CA 92103
SAN DIEGO county
Map
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
