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Licensing details for: 9031

Name: MONTEREY FAMILY DENTAL CARE, DENTAL OFFICE OF DR. MARY PANLILIO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: MONTEREY FAMILY DENTAL CARE

Address of Record

1249 FREMOTN BOULEVARD #B
SEASIDE CA 93955
MONTEREY county
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Practice Location

1249 FREMOTN BOULEVARD #B
SEASIDE CA 93955
MONTEREY county
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Issuance Date

November 1, 2010

Expiration Date

October 31, 2012

Current Date / Time

June 6, 2025
1:30:12 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PANLILIO, MARY GALVAN

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: 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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