Dental Board of California
Licensing details for: 57304
Name: NAVARRO, ISAAC ROBERT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
4148 S DEMAREE ST
Suite A
VISALIA CA 93277
TULARE 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: GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79670 Primary Status: Expired
Address :
1008 W. SHAW AVE, STE 105
FRESNO CA 93711
FRESNO COUNTY
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: ISAAC NAVARRO, DDS
License/Registration Type: Additional Office Permit
License Number: 81641 Primary Status: Current - Active
Address :
4148 S. DEMAREE ST., SUITE B
VISALIA CA 93277
TULARE COUNTY
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: FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79693 Primary Status: Cancelled
Address :
1193 E. CHAMPLAIN DRIVE
FRESNO CA 93720
FRESNO COUNTY
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: NAVARRO AND MELARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80860 Primary Status: Cancelled
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
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: KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80893 Primary Status: Cancelled
Address :
1095 HERNDON AVENUE, SUITE 102
CLOVIS CA 93612
FRESNO COUNTY
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: C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79671 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
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: ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79821 Primary Status: Expired
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
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: ISAAC NAVARRO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79373 Primary Status: Cancelled
Address :
3206 N DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
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: ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80956 Primary Status: Cancelled
Address :
2682 NAGLEE RD STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VISALIA MODERN DENTISTRY DENTAL GROUP, NAVARRO AND MELARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16441 Primary Status: Expired
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14545 Primary Status: Cancelled
Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLOVIS CROSSING DENTAL GROUP, KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16480 Primary Status: Current - Active
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14498 Primary Status: Cancelled
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14523 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VISALIA MODERN DENTISTRY DENTAL GROUP, ISAAC NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13609 Primary Status: Cancelled
Address :
3206 N DINUBA BLVD STE F
VISALIA CA 93291
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NAGLEE DENTAL GROUP, ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16562 Primary Status: Current - Active
Address :
2682 NAGLEE ROAD. SUITE 110
TRACY CA 95304
SAN JOAQUIN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14546 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SPECIAL SMILES CENTER DENTAL OFFICE OF DR. ISAAC NAVARRO
License/Registration Type: Fictitious Name Permit
License Number: 18533 Primary Status: Current - Active
Address :
4148 S. DEMAREE ST SUITE B
VISALIA CA 93277
TULARE 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: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14523 Primary Status: Cancelled
Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
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: VISALIA MODERN DENTISTRY DENTAL GROUP, ISAAC NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13609 Primary Status: Cancelled
Address :
3206 N DINUBA BLVD STE F
VISALIA CA 93291
TULARE 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: VISALIA MODERN DENTISTRY DENTAL GROUP, NAVARRO AND MELARA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16441 Primary Status: Expired
Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE 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: SPECIAL SMILES CENTER DENTAL OFFICE OF DR. ISAAC NAVARRO
License/Registration Type: Fictitious Name Permit
License Number: 18533 Primary Status: Current - Active
Address :
4148 S. DEMAREE ST SUITE B
VISALIA CA 93277
TULARE 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: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14546 Primary Status: Cancelled
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
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: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14498 Primary Status: Cancelled
Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN 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: NAGLEE DENTAL GROUP, ENTABI AND FAREID DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16562 Primary Status: Current - Active
Address :
2682 NAGLEE ROAD. SUITE 110
TRACY CA 95304
SAN JOAQUIN 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: CLOVIS CROSSING DENTAL GROUP, KUNAL SOOD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16480 Primary Status: Current - Active
Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
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: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14545 Primary Status: Cancelled
Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
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: NAVARRO, ISAAC ROBERT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4471 Primary Status: Current - Active
Address :
4148 S. Demaree St
Suite B
4148 S. Demaree St
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: NAVARRO, ISAAC ROBERT
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2460 Primary Status: Cancelled
Address :
1606 W BURREL AVENUE
VISALIA CA 93291
TULARE COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: Vardapetian, Stephen Ruben
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 788 Primary Status: Current - Active
Address Not Disclosed
