Dental Board of California
Licensing details for: 105061
Name: DAVIS, ZACHERY TYLER
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1755 Lester Ave
CLOVIS CA 93619-7714
FRESNO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: HAPPY LITTLE TEETH, INC., A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Additional Office Permit
License Number: 81684 Primary Status: Current - Active
Address :
3912 W. CALDWELL AVE
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18454 Primary Status: Current - Active
Address :
3912 WEST CALDWELL AVE
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH INC, A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18802 Primary Status: Current - Active
Address :
5151 N. PALM AVE, SUITE 320
FRESNO CA 93704
FRESNO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH INC, A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18802 Primary Status: Current - Active
Address :
5151 N. PALM AVE, SUITE 320
FRESNO CA 93704
FRESNO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18454 Primary Status: Current - Active
Address :
3912 WEST CALDWELL AVE
VISALIA CA 93277
TULARE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: DAVIS, ZACHERY TYLER
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4055 Primary Status: Cancelled
Address :
1900 SHAW AVE
CLOVIS CA 93611
FRESNO COUNTY
