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Licensing details for: 2838

Name: PANLILIO, MARY GALVAN

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Previous Names: GALVAN, MARY HALILI

Address of Record

1249 Fremont Blvd Ste B
SEASIDE CA 93955-5754
MONTEREY county
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Issuance Date

September 24, 2012

Expiration Date

October 31, 2024

Current Date / Time

June 6, 2025
3:22:32 PM

License Relationships

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

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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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: PANLILIO, MARY GALVAN

License/Registration Type: Dentist License

License Number: 43153 Primary Status: Current - Active

Address :
1249 Fremont Blvd Ste B
SEASIDE CA 93955-5754
MONTEREY COUNTY

Map

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