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Licensing details for: 9320

Name: NORTHRIDGE FAMILY DENTISTRY, DENTAL PRACTICE OF DR. ELIZABETH GAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: NORTHRIDGE FAMILY DENTISTRY

Address of Record

18251 ROSCOE BOULEVARD
STE. 201A
NORTHRIDGE CA 91325
LOS ANGELES county
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Practice Location

18251 ROSCOE BOULEVARD
STE. 201A
NORTHRIDGE CA 91325
LOS ANGELES county
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Issuance Date

May 12, 2011

Expiration Date

January 31, 2015

Current Date / Time

June 6, 2025
2:1:30 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GALLEGLY, ELIZABETH THIEN-HUONG

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: GALLEGLY, ELIZABETH THIEN-HUONG

License/Registration Type: Dentist License

License Number: 44528 Primary Status: Current - Active

Address :
9700 Reseda Blvd Ste 207
NORTHRIDGE CA 91324-5505
LOS ANGELES COUNTY

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