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Licensing details for: 392

Name: DEL CAMPO, SHELLAINE ALONSAGAY

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Previous Names: DELCAMPO, SHELLAINE ALONSAGAY

Address of Record

113 WATERWORKS WAY STE 220
IRVINE CA 92618
ORANGE county
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Practice Location

113 WATERWORKS WAY STE 220
IRVINE CA 92618
ORANGE county
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Issuance Date

March 8, 2024

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
3:1:8 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

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

License/Registration Type: Fictitious Name Permit

License Number: 7559 Primary Status: Cancelled

Address :
27725 SANTA MARGARITA PKWY.
STE. 270
MISSION VIEJO CA 92691
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AD SEDATION & IMPLANT DENTISTRY DENTAL PRACTICE OF SHELLAINE A. DEL CAMPO DMD

License/Registration Type: Fictitious Name Permit

License Number: 18805 Primary Status: Current - Active

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

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special 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

Map

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