
Dental Board of California
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
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