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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
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Issuance Date

December 2, 2010

Expiration Date

December 31, 2026

Current Date / Time

December 13, 2025
4:47:43 PM

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

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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: 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

Map

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

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