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Licensing details for: 1307

Name: DEL CAMPO, SHELLAINE ALONSAGAY

License Type: Conscious Sedation

Primary Status: Cancelled

Previous Names: DELCAMPO, SHELLAINE ALONSAGAY

Address of Record

12 SOMERSET
DOVE CANYON CA 92679
ORANGE county
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Practice Location

113 WATERWORKS WAY, STE 220
IRVINE CA 92618
ORANGE county
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Issuance Date

September 21, 2021

Expiration Date

July 31, 2023

Current Date / Time

June 7, 2025
3:21:0 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: DEL CAMPO, SHELLAINE ALONSAGAY

License/Registration Type: Dentist License

License Number: 45850 Primary Status: Current - Active

Address :
113 WATERWORKS WAY STE 220
IRVINE CA 92618
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AD SEDATION & IMPLANT DENTISTRY DENTAL PRACTICE OF SHELLAINE A. DEL CAMPO DMD

License/Registration Type: Fictitious Name Permit

License Number: 18805 Primary Status: Current - Active

Address :
113 WATERWORKS WAY STE 220
IRVINE CA 92618
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AVALON DENTISTRY, DENTAL OFFICE OF SHELLAINE ALONSAGAY-DEL CAMPO,

License/Registration Type: Fictitious Name Permit

License Number: 7559 Primary Status: Cancelled

Address :
27725 SANTA MARGARITA PKWY.
STE. 270
MISSION VIEJO CA 92691
ORANGE COUNTY

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