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Licensing details for: 36765

Name: HAYASHI, RANDALL TOYSON

License Type: Dentist

Primary Status: Current - Active

Address of Record

8102 Pollard Ave
FAIR OAKS CA 95628-6059
SACRAMENTO county
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Issuance Date

July 21, 1988

Expiration Date

November 30, 2027

Current Date / Time

December 13, 2025
11:45:20 AM

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: R.T. HAYASHI, DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 11028 Primary Status: Cancelled

Address :
3428 WATT AVENUE, SUITE A
SACRAMENTO CA 95821
SACRAMENTO COUNTY

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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: R.T. HAYASHI, DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 10919 Primary Status: Cancelled

Address :
3428 WATT AVE., STE B
SACRAMENTO CA 95821
SACRAMENTO COUNTY

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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: HAYASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 12064 Primary Status: Cancelled

Address :
601 W KETTLEMAN LANE
STE B
LODI CA 95240
SAN JOAQUIN COUNTY

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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: R.T. HAYASHI, D.D.S., INC.

License/Registration Type: Additional Office Permit

License Number: 12072 Primary Status: Cancelled

Address :
5723 MARCONI AVE
SUITE A
CARMICHAEL CA 95608
SACRAMENTO COUNTY

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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: RANDALL T. HAYASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 12071 Primary Status: Cancelled

Address :
6600 MERCY COURT
SUITE 200
FAIR OAKS CA 95628
SACRAMENTO COUNTY

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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: HAYASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 10358 Primary Status: Cancelled

Address :
531 KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN COUNTY

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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: R.T. HAYASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79532 Primary Status: Cancelled

Address :
9600 FAIRWAY DR STE 150
ROSEVILLE CA 95678
PLACER 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: CEVA DENTAL SPECIALTY GROUP, DENTAL GROUP OF R.T. HAYASHI, DDS, I

License/Registration Type: Fictitious Name Permit

License Number: 10262 Primary Status: Cancelled

Address :
3428 WATT AVENUE, STE. B
SACRAMENTO CA 95821
SACRAMENTO 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: ROTUNDA DENTAL CARE, A DENTAL PRACTICE OF RANDALL HAYASHI, DDS, I

License/Registration Type: Fictitious Name Permit

License Number: 9679 Primary Status: Cancelled

Address :
300 FRANK OGAWA PLAZA, STE. 100
OAKLAND CA 94612
ALAMEDA 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: AESTHETIC DENTAL DESIGNS

License/Registration Type: Fictitious Name Permit

License Number: 5259 Primary Status: Cancelled

Address :
1006 H STREET
MODESTO CA 95354
STANISLAUS 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: FAMILY DENTAL SPECIALTY GROUP, DENTAL GROUP OF R.T. HAYASHI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 10349 Primary Status: Cancelled

Address :
3428 WATT AVENUE #B
SACRAMENTO CA 95821
SACRAMENTO 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: AESTHETIC DENTAL DESIGNS, DENTAL OFFICE OF RANDALL T. HAYASHI, DD

License/Registration Type: Fictitious Name Permit

License Number: 7707 Primary Status: Cancelled

Address :
1006 H STREET
MODESTO CA 95354
STANISLAUS 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: MARCONI FAMILY DENTAL & SPECIALTY GROUP, A DENTAL PRACTICE OF R.T. HAYASHI, DDS., INC.

License/Registration Type: Fictitious Name Permit

License Number: 13972 Primary Status: Cancelled

Address :
5723 MARCONI AVE STE A
CARMICHAEL CA 95608
SACRAMENTO 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: MODERN DENTAL HEALTH, DENTAL GROUP OF R.T. HAYASHI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10263 Primary Status: Cancelled

Address :
3428 WATT AVENUE, STE. A
SACRAMENTO CA 95821
SACRAMENTO 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: WELLCARE DENTAL GROUP OF STOCKTON, PRACTICE OF RANDALL T. HAYASHI

License/Registration Type: Fictitious Name Permit

License Number: 9222 Primary Status: Cancelled

Address :
1036 W ROBINHOOD DRIVE
STE. 104
STOCKTON CA 95207
SAN JOAQUIN 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: MADISON OAKS DENTAL CARE DENTAL PRACTICE OF RANDALL T. HAYASHI DE

License/Registration Type: Fictitious Name Permit

License Number: 12599 Primary Status: Cancelled

Address :
6600 MERCY COURT, SUITE 200
FAIR OAKS CA 95628
SACRAMENTO 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: WELLCARE DENTAL GROUP OF LODI, PRACTICE OF HAYASHI DENTAL CORPORA

License/Registration Type: Fictitious Name Permit

License Number: 9243 Primary Status: Cancelled

Address :
531 W. KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN 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: FAMILY DENTAL & SPECIALTY GROUP A DENTAL PRACTICE OF R.T HAYASHI,

License/Registration Type: Fictitious Name Permit

License Number: 12555 Primary Status: Cancelled

Address :
5723 MARCONI AVENUE, SUITE A
CARMICHAEL CA 95608
SACRAMENTO COUNTY

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