Dental Board of California
Licensing details for: 60064
Name: USTAREZ-OJI, ADRIANA
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Address of Record
California KiDDS
7525 N Cedar Ave
Suite 105
FRESNO CA 93720
FRESNO county
Map
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: SUMMIT ORAL AND FACIAL SURGERY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 19572 Primary Status: Current - Active
Address :
7525 N CEDAR AVE, SUITE 115
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: CALIFORNIA KIDDS PEDIATRIC DENTISTRY, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 19707 Primary Status: Current - Active
Address :
7525 N CEDAR AVE, SUITE 105
FRESNO CA 93720
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: USTAREZ-OJI, ADRIANA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3800 Primary Status: Cancelled
Address :
1900 Shaw Ave
CLOVIS CA 93611-4208
FRESNO COUNTY



