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Licensing details for: 106580

Name: MACDONALD, DAVID WILLIAM

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

2415 Lexington Ave
CLOVIS CA 93619-2706
FRESNO county
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Practice Location

1900 Shaw Avenue
#101
CLOVIS CA 93611
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Issuance Date

July 14, 2021

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
7:52:46 PM

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

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CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: MACDONALD, DAVID WILLIAM

License/Registration Type: Conscious Sedation Permit

License Number: 1309 Primary Status: Cancelled

Address :
1011 E St
REEDLEY CA 93654-2918

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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

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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

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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

Map

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

Map

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