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FLORIDA BOARD OF DENTISTRY

DEPARTMENT OF HEALTH

BOARD COMPOSITION 7 Licensed Dentists

2 Licensed Dental Hygienists

2 Consumer Members

11 Total

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LICENSED DENTISTS

L. Ross, D.D.S. Hal Haering, D.M.D.

20335 Old Cutler Road, Ste. 200 Post Office Box 386

Miami, FL 33189 LaBelle, FL 33975

(305) 238-6777 Work (863) 675-0019 Work

Term: 2/8/90 thru 10/31/01 Term: 11/1/00 thru 10/31/04

CHAIRPERSON DENTAL HYGIENISTS

Faustino , D.M.D.

555 Biltmore Way, Suite 102 Helen Ann , R.D.H.

Coral Gables, FL 33134 9550 Foxrun Road

(305) 444-4300 Work Pensacola, FL 32514

Term: 7/2/92 thru 10/31/02 (850) 477-6934 Work

Term: 11/21/97 thru 10/31/01

Eva Ackley, D.M.D.

1530 Pinehurst Drive Irene Stavros, R.D.H., Vice Chairperson

Spring Hill, FL 34606 4950 Le Jeune Road, Suite C

(352) 683-7668 Work Coral Gables, FL 33146

Term: 12/13/99 thru 10/31/03 (305) 661-4266 Work

Term: 11/1/96 thru 10/31/04

Michele Dallas, D.D.S.

1012 E. Broward Blvd., Suite A CONSUMER MEMBERS

Ft. Lauderdale, FL 33301

(954) 525-5055 Work Gloria Fisher

Term: 12/13/99 thru 10/31/03 1721 SW 102nd Avenue

Miami, FL 33165

Gerald Laboda, D.M.D. (305) 552-5327 Work

5285 Summerlin Road, Suite 101 Term: 6/30/99 thru 10/31/02

Ft. Myers, FL 33919

(941) 936-8151 Work Poitevent

Term: 6/30/99 thru 10/31/02 3491-11 ville Road, #204

Tallahassee, FL 32308

Phil J. Levine, D.D.S. (850) 893-0845

6202 North 9th Avenue, Suite 1-B Term: 11/1/00 thru 10/31/04

Pensacola, FL 32504

(850) 474-0001 Work Term: 10/10/94 thru 10/31/01

Executive Director

DIVISION OF MEDICAL QUALITY ASSURANCE BOARD OF DENTISTRY

4052 BALD CYPRESS WAY, BIN #C08*TALLAHASSEE, FLORIDA 32399-3258

TELEPHONE (850) 245-4474*FACSIMILE (850) 921-5389

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