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Licensing details for: 17441

Name: HUNTINGTON COAST DENTISTRY DENTAL PRACTICE OF JANET PEZOLD, D.D.S., APC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

613 Rhine Ln
COSTA MESA CA 92626-3135
ORANGE county
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Practice Location

18700 Main St.
106
Suite 106
HUNTINGTON BEACH CA 92648
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Issuance Date

October 20, 2022

Expiration Date

March 31, 2025

Current Date / Time

June 6, 2025
2:10:19 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PEZOLD, JANET LILLIAN

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: PEZOLD, JANET LILLIAN

License/Registration Type: Dentist License

License Number: 102641 Primary Status: Current - Active

Address :
17122 Beach Blvd
Ste. 202
HUNTINGTON BEACH CA 92647-5992
ORANGE COUNTY

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