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Licensing details for: 7559

Name: AVALON DENTISTRY, DENTAL OFFICE OF SHELLAINE ALONSAGAY-DEL CAMPO,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: AVALON DENTISTRY

Address of Record

27725 SANTA MARGARITA PKWY.
STE. 270
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

July 29, 2008

Expiration Date

July 31, 2017

Current Date / Time

June 7, 2025
5:42:41 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DEL CAMPO, SHELLAINE ALONSAGAY

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: DEL CAMPO, SHELLAINE ALONSAGAY

License/Registration Type: Dentist License

License Number: 45850 Primary Status: Current - Active

Address :
113 WATERWORKS WAY STE 220
IRVINE CA 92618
ORANGE COUNTY

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