Dental Board of California
Licensing details for: 43153
Name: PANLILIO, MARY GALVAN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Previous Names: GALVAN, MARY HALILI
Address of Record
1249 Fremont Blvd Ste B
SEASIDE CA 93955-5754
MONTEREY county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTEREY FAMILY DENTAL CARE, DENTAL OFFICE OF DR. MARY PANLILIO
License/Registration Type: Fictitious Name Permit
License Number: 9031 Primary Status: Cancelled
Address :
1249 FREMOTN BOULEVARD #B
SEASIDE CA 93955
MONTEREY COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTEREY FAMILY DENTAL OFFICE, MARY PANLILIO,
License/Registration Type: Fictitious Name Permit
License Number: 3716 Primary Status: Cancelled
Address :
1130 FREMONT BLVD, STE 210
SEASIDE CA 93955
MONTEREY 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: MONTEREY FAMILY DENTAL OFFICE, MARY PANLILIO,
License/Registration Type: Fictitious Name Permit
License Number: 3716 Primary Status: Cancelled
Address :
1130 FREMONT BLVD, STE 210
SEASIDE CA 93955
MONTEREY 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: MONTEREY FAMILY DENTAL CARE, DENTAL OFFICE OF DR. MARY PANLILIO
License/Registration Type: Fictitious Name Permit
License Number: 9031 Primary Status: Cancelled
Address :
1249 FREMOTN BOULEVARD #B
SEASIDE CA 93955
MONTEREY COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: PANLILIO, MARY GALVAN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2838 Primary Status: Expired
Address :
1249 Fremont Blvd Ste B
SEASIDE CA 93955-5754
MONTEREY COUNTY
