Dental Board of California
Licensing details for: 45065
Name: YOUNG, KIMMER EUGENE
License Type: Dentist
Primary Status: Current - Active
Address of Record
2401 W. CLEVELAND AVE
MADERA CA 93637
MADERA 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: KIMMER E YOUNG, DDS & CHERYL A WHISENHUNT, DDS, DENTAL
License/Registration Type: Additional Office Permit
License Number: 8576 Primary Status: Cancelled
Address :
2401 W CLEVELAND AVE
MADERA CA 93637
MADERA 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: CALIFORNIA SMILES, DENTAL OFFICE OF KIMMER E YOUNG, DDS
License/Registration Type: Fictitious Name Permit
License Number: 5102 Primary Status: Cancelled
Address :
302 FRESNO ST, STE 204
FRESNO CA 93706
FRESNO 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: YOUNG, KIMMER EUGENE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 761 Primary Status: Cancelled
Address :
2401 W CLEVELAND AVE
MADERA CA 93637
MADERA COUNTY
