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Licensing details for: 4641

Name: EDWARD G PELLIS DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

26732 CROWN VALLEY PARKWAY
SUITE 451
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

July 14, 1989

Expiration Date

December 31, 2014

Current Date / Time

June 7, 2025
10:20:8 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: PELLIS, EDWARD G

License/Registration Type: Dentist License

License Number: 26317 Primary Status: Expired

Address :
1441 AVOCADO AVE STE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY

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