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Licensing details for: 5419

Name: NEWPORT ENDODONTIC GROUP, A DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Partnership

Address of Record

1441 AVOCADO AVE, STE 401
NEWPORT BEACH CA 92660
ORANGE county
Map

Issuance Date

February 22, 2005

Expiration Date

August 31, 2022

Current Date / Time

June 7, 2025
6:56:20 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COFFMAN, KAREN LYNN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COFFMAN, KAREN L

Address Not Disclosed

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