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Licensing details for: 56580

Name: ECHAVERRY-CENTENO, MARIA GABRIELA

License Type: Dentist

Primary Status: Current - Active

Previous Names: ECHAVERRY, MARIA ECHAVERRY, MARIA GABRIELA

Address of Record

2144 San Jose Ave
CLOVIS CA 93611-3152
FRESNO county
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Practice Location

2740 S Elm Ave
FRESNO CA 93706-5435
FRESNO county
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Issuance Date

November 6, 2007

Expiration Date

August 31, 2027

Current Date / Time

April 5, 2026
4:44:35 AM

License Relationships

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: OLIVE DENTAL OFFICE, MARIA G. ECHAVERRY, DDS, A PROF. CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7752 Primary Status: Cancelled

Address :
2624 E. OLIVE AVENUE
FRESNO CA 93701
FRESNO COUNTY

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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: ECHAVERRY-CENTENO, MARIA GABRIELA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3750 Primary Status: Cancelled

Address :
P.O. BOX 6230
FRESNO CA 93703
FRESNO COUNTY

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