Dental Board of California
Licensing details for: 26317
Name: PELLIS, EDWARD G
License Type: Dentist
Primary Status: Expired
Secondary Status: Reduced Renewal Fee
Address of Record
1441 AVOCADO AVE STE 401
NEWPORT BEACH CA 92660
ORANGE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: EDWARD G PELLIS DDS INC
License/Registration Type: Additional Office Permit
License Number: 4641 Primary Status: Cancelled
Address :
26732 CROWN VALLEY PARKWAY
SUITE 451
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION ENDODONTIC GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2244 Primary Status: Cancelled
Address :
JOHN ROY BUONCRISTIANI, DDS
26732 CROWN VALLEY PKWY, SUITE 451
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION ENDODONTIC GROUP, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5426 Primary Status: Cancelled
Address :
26732 CROWN VALLEY PKWY
STE 451
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NEWPORT ENDODONTIC GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2243 Primary Status: Cancelled
Address :
JOHN ROY BUONCRISTIANI, DDS
1441 AVOCADO AVENUE, SUITE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MISSION ENDODONTIC GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2244 Primary Status: Cancelled
Address :
JOHN ROY BUONCRISTIANI, DDS
26732 CROWN VALLEY PKWY, SUITE 451
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MISSION ENDODONTIC GROUP, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5426 Primary Status: Cancelled
Address :
26732 CROWN VALLEY PKWY
STE 451
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: NEWPORT ENDODONTIC GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2243 Primary Status: Cancelled
Address :
JOHN ROY BUONCRISTIANI, DDS
1441 AVOCADO AVENUE, SUITE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: CAVALIERI, ROBERT J
License/Registration Type: Dentist License
License Number: 36232 Primary Status: Current - Active
Address :
1441 AVOCADO AVENUE
SUITE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: BUONCRISTIANI, JOHN ROY
License/Registration Type: Dentist License
License Number: 37196 Primary Status: Current - Active
Address :
15 Mareblu Ste 220
ALISO VIEJO CA 92656-3046
ORANGE COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: COFFMAN, KAREN LYNN
License/Registration Type: Dentist License
License Number: 40224 Primary Status: Cancelled
Address :
22431 ANTONIO PKWY
STE B #160-255
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: BUONCRISTIANI, JOHN ROY
License/Registration Type: Dentist License
License Number: 37196 Primary Status: Current - Active
Address :
15 Mareblu Ste 220
ALISO VIEJO CA 92656-3046
ORANGE COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: COFFMAN, KAREN LYNN
License/Registration Type: Dentist License
License Number: 40224 Primary Status: Cancelled
Address :
22431 ANTONIO PKWY
STE B #160-255
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
New License to Old License
License/Registration Role: Old Dentist License
Related Party Role: New Dentist License
Name: CAVALIERI, ROBERT J
License/Registration Type: Dentist License
License Number: 36232 Primary Status: Current - Active
Address :
1441 AVOCADO AVENUE
SUITE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY
