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Licensing details for: 3716

Name: MONTEREY FAMILY DENTAL OFFICE, MARY PANLILIO,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1130 FREMONT BLVD, STE 210
SEASIDE CA 93955
MONTEREY county
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Issuance Date

June 19, 2002

Expiration Date

October 31, 2010

Current Date / Time

December 13, 2025
7:53:0 AM

License Relationships

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: 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

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