Dental Board of California
Licensing details for: 2902
Name: BUONCRISTIANI, JOHN ROY
License Type: Oral Conscious Sedation
Primary Status: Current - Active
Specialty: Adult
Address of Record
2121 E Coast Hwy
#100
CORONA DEL MAR CA 92625-1931
ORANGE county
Map
License Relationships
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
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: 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
