Dental Board of California
Licensing details for: 5426
Name: MISSION ENDODONTIC GROUP, A DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
26732 CROWN VALLEY PKWY
STE 451
MISSION VIEJO CA 92691
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BUONCRISTIANI, JOHN ROY
Address Not Disclosed
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: CAVALIERI, ROBERT J
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PENE, JEFFREY RICHARD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COFFMAN, KAREN L
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PELLIS, EDWARD G
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BUONCRISTIANI, JOHN R
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PENE, JEFFREY R
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: BUONCRISTIANI, JOHN ROY
License/Registration Type: Dentist License
License Number: 37196 Primary Status: Current - Active
Address :
15 Mareblu Ste 220
ALISO VIEJO CA 92656-3046
ORANGE COUNTY
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: 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
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: CAVALIERI, ROBERT J
License/Registration Type: Dentist License
License Number: 36232 Primary Status: Current - Active
Address :
1441 AVOCADO AVENUE
SUITE 401
NEWPORT BEACH CA 92660
ORANGE COUNTY
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: COFFMAN, KAREN LYNN
License/Registration Type: Dentist License
License Number: 40224 Primary Status: Cancelled
Address :
22431 ANTONIO PKWY
STE B #160-255
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
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: PENE, JEFFREY RICHARD
License/Registration Type: Dentist License
License Number: 44432 Primary Status: Current - Active
Address :
1441 Avocado Ave Ste 401
NEWPORT BEACH CA 92660-7705
ORANGE COUNTY
