Dental Board of California
Licensing details for: 61309
Name: PRIETO, JORDAN DAVID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1900 Shaw Ave
101
CLOVIS CA 93611-4208
FRESNO 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: CHILDREN'S DENTISTRY OF VISALIA A DENTAL OFFICE OF STEPHEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 81026 Primary Status: Current - Active
Address :
1941 N DINUBA AVE SUITE A
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: STEVEN O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS INC
License/Registration Type: Additional Office Permit
License Number: 79638 Primary Status: Current - Active
Address :
3807 SAN DIMAS ST STE C
BAKERSFIELD CA 93301
KERN 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: CHILDREN'S DENTISTRY AND ORTHODONTICS A DENTALOFFICE OF STEVE O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79206 Primary Status: Current - Active
Address :
1275 W Shaw Ave
SUITE 101
FRESNO CA 93711-3710
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: HAPPY LITTLE TEETH, INC., A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Additional Office Permit
License Number: 81684 Primary Status: Current - Active
Address :
3912 W. CALDWELL AVE
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: CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 80975 Primary Status: Current - Active
Address :
2370 W CLEVELAND STE 104
MADERA CA 93637
MADERA 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: JORDAN PRIETO, DDS
License/Registration Type: Additional Office Permit
License Number: 80538 Primary Status: Current - Active
Address :
140 PARK AVE.
MERCED CA 95348
MERCED 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: CHILDREN'S DENTISTRY AND ORTHODONTICS A DENTALOFFICE OF STEVE O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79203 Primary Status: Current - Active
Address :
1705 N Fine Ave
SUITE 102
FRESNO CA 93727-1653
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: CHILDREN'S DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVEN O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS, INC
License/Registration Type: Additional Office Permit
License Number: 79494 Primary Status: Cancelled
Address :
3807 SAN DIMAS ST STE C
BAKERSFIELD CA 93301
KERN 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: PALM BLUFFS DENTAL GROUP INC. PRACTICE OF DR. PRIETO
License/Registration Type: Additional Office Permit
License Number: 81352 Primary Status: Current - Active
Address :
7766 N PALM AVE #104
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: CHILDREN'S DENTISTRY AND ORTHODONTICS A DENTALOFFICE OF STEVE O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79204 Primary Status: Current - Active
Address :
726 W Barstow Ave
SUITE 115
FRESNO CA 93704-1955
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: JEFFREY EVANS, DDS
License/Registration Type: Additional Office Permit
License Number: 80540 Primary Status: Current - Active
Address :
140 PARK AVE.
MERCED CA 95348
MERCED 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: OHARA PRIETO EVANS KUNKEL DENTAL INC
License/Registration Type: Additional Office Permit
License Number: 81351 Primary Status: Current - Active
Address :
7025 N MAPLE AVE #101
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: STEVEN O'HARA, DDS
License/Registration Type: Additional Office Permit
License Number: 80539 Primary Status: Current - Active
Address :
140 PARK AVE.
MERCED CA 95348
MERCED 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: JEFFREY KUNKEL, DDS
License/Registration Type: Additional Office Permit
License Number: 80541 Primary Status: Current - Active
Address :
140 PARK AVE.
MERCED CA 95348
MERCED 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: CHILDREN'S DENTISTRY AND ORTHODONTICS A DENTALOFFICE OF STEVE O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79205 Primary Status: Current - Active
Address :
6245 N Fresno St
SUITE 103
FRESNO CA 93710-5270
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEY CHILDREN'S DENTISTRY AND ORTHODONTICS, DENTAL OFFICE OF DR
License/Registration Type: Fictitious Name Permit
License Number: 11920 Primary Status: Cancelled
Address :
6245 N FRESNO STREET
SUITE 103
FRESNO CA 93710
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTISTRY OF MERCED A DENTAL OFFICE OF STEVEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14385 Primary Status: Current - Active
Address :
140 PARK AVE
MERCED CA 95348
MERCED COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18454 Primary Status: Current - Active
Address :
3912 WEST CALDWELL AVE
VISALIA CA 93277
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTISTRY OF VISALIA A DENTAL OFFICE OF STEPHEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16750 Primary Status: Current - Active
Address :
1941 N DINUBA AVE SUITE A
VISALIA CA 93291
TULARE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CALIFORNIA KIDDS PEDIATRIC DENTISTRY OF FIGARDEN LOOP, DENTAL PRACTICE OF JORDAN PRIETO, D.D.S., INC., JEFFREY EVANS, D.D.S., INC. AND JEFFREY KUNKEL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 14422 Primary Status: Current - Active
Address :
4220 W. FIGARDEN DR. STE 102
FRESNO CA 93722
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALL ABOUT SMILES DENTAL PRACTICE OF DR'S OHARA, PRIETO, EVANS AND KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 17272 Primary Status: Current - Active
Address :
7025 N MAPLE AVE #101
FRESNO CA 93720
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13149 Primary Status: Current - Active
Address :
6245 N. FRESNO STREET, STE. 103
FRESNO CA 93710
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM BLUFFS DENTAL GROUP INC. PRACTICE OF DR. PRIETO
License/Registration Type: Fictitious Name Permit
License Number: 17500 Primary Status: Current - Active
Address :
7766 N PALM AVE #104
FRESNO CA 93711
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS
License/Registration Type: Fictitious Name Permit
License Number: 13198 Primary Status: Current - Active
Address :
726 W. BARSTOW AVE, STE. 115
FRESNO CA 93704
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTISTRY OF BAKERSFIELD, A DENTAL OFFICE OF STEVEN O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 14140 Primary Status: Current - Active
Address :
3807 SAM DIMAS ST STE C
BAKERSFIELD CA 93301
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13166 Primary Status: Current - Active
Address :
1275 W. SHAW AVENUE, SUITE 101
FRESNO CA 93711
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16577 Primary Status: Current - Active
Address :
2370 W. CLEVELAND SUITE 104
MADERA CA 93637
MADERA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTISTRY AND ORTHODONTICS OF BAKERSFIELD, A DENTAL OFFICE OF STEVE O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS
License/Registration Type: Fictitious Name Permit
License Number: 13810 Primary Status: Cancelled
Address :
3807 SAN DIMAS ST STE C
BAKERSFIELD CA 93301
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13150 Primary Status: Current - Active
Address :
1705 N. FINE AVENUE, SUITE 102
FRESNO CA 93727
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTRAL CALIFORNIA CHILDREN'S DENTISTRY AND ORTHODONTICS DENTAL O
License/Registration Type: Fictitious Name Permit
License Number: 12593 Primary Status: Cancelled
Address :
6245 N. FRESNO STREET, SUITE 103
FRESNO CA 93710
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HAPPY LITTLE TEETH INC, A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18802 Primary Status: Current - Active
Address :
5151 N. PALM AVE, SUITE 320
FRESNO CA 93704
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: CHILDREN'S DENTISTRY AND ORTHODONTICS OF BAKERSFIELD, A DENTAL OFFICE OF STEVE O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS
License/Registration Type: Fictitious Name Permit
License Number: 13810 Primary Status: Cancelled
Address :
3807 SAN DIMAS ST STE C
BAKERSFIELD CA 93301
KERN 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: CHILDREN'S DENTISTRY OF VISALIA A DENTAL OFFICE OF STEPHEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16750 Primary Status: Current - Active
Address :
1941 N DINUBA AVE SUITE A
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: CHILDREN'S DENTISTRY OF BAKERSFIELD, A DENTAL OFFICE OF STEVEN O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 14140 Primary Status: Current - Active
Address :
3807 SAM DIMAS ST STE C
BAKERSFIELD CA 93301
KERN 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: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA DDS, JORDAN PRIETO DDS, JEFFREY EVANS DDS AND JEFFREY KUNKEL DDS
License/Registration Type: Fictitious Name Permit
License Number: 13198 Primary Status: Current - Active
Address :
726 W. BARSTOW AVE, STE. 115
FRESNO CA 93704
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: VALLEY CHILDREN'S DENTISTRY AND ORTHODONTICS, DENTAL OFFICE OF DR
License/Registration Type: Fictitious Name Permit
License Number: 11920 Primary Status: Cancelled
Address :
6245 N FRESNO STREET
SUITE 103
FRESNO CA 93710
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 OF FIGARDEN LOOP, DENTAL PRACTICE OF JORDAN PRIETO, D.D.S., INC., JEFFREY EVANS, D.D.S., INC. AND JEFFREY KUNKEL, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 14422 Primary Status: Current - Active
Address :
4220 W. FIGARDEN DR. STE 102
FRESNO CA 93722
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: ALL ABOUT SMILES DENTAL PRACTICE OF DR'S OHARA, PRIETO, EVANS AND KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 17272 Primary Status: Current - Active
Address :
7025 N MAPLE AVE #101
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: HAPPY LITTLE TEETH INC, A DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18802 Primary Status: Current - Active
Address :
5151 N. PALM AVE, SUITE 320
FRESNO CA 93704
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: PALM BLUFFS DENTAL GROUP INC. PRACTICE OF DR. PRIETO
License/Registration Type: Fictitious Name Permit
License Number: 17500 Primary Status: Current - Active
Address :
7766 N PALM AVE #104
FRESNO CA 93711
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: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13149 Primary Status: Current - Active
Address :
6245 N. FRESNO STREET, STE. 103
FRESNO CA 93710
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: CENTRAL CALIFORNIA CHILDREN'S DENTISTRY AND ORTHODONTICS DENTAL O
License/Registration Type: Fictitious Name Permit
License Number: 12593 Primary Status: Cancelled
Address :
6245 N. FRESNO STREET, SUITE 103
FRESNO CA 93710
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: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13150 Primary Status: Current - Active
Address :
1705 N. FINE AVENUE, SUITE 102
FRESNO CA 93727
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: CHILDREN'S DENTISTRY OF MADERA A DENTAL OFFICE OF STEPHEN O'HARA DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16577 Primary Status: Current - Active
Address :
2370 W. CLEVELAND SUITE 104
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: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL
License/Registration Type: Fictitious Name Permit
License Number: 13166 Primary Status: Current - Active
Address :
1275 W. SHAW AVENUE, SUITE 101
FRESNO CA 93711
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: HAPPY LITTLE TEETH DENTAL OFFICE OF DR. O'HARA
License/Registration Type: Fictitious Name Permit
License Number: 18454 Primary Status: Current - Active
Address :
3912 WEST CALDWELL AVE
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: CHILDREN'S DENTISTRY OF MERCED A DENTAL OFFICE OF STEVEN O'HARA, DDS, JORDAN PRIETO, DDS, JEFFREY EVANS, DDS, AND JEFFREY KUNKEL, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14385 Primary Status: Current - Active
Address :
140 PARK AVE
MERCED CA 95348
MERCED 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: PRIETO, JORDAN DAVID
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2771 Primary Status: Cancelled
Address :
1900 Shaw Ave
101
1900 Shaw Ave, 101
CLOVIS CA 93611-4208
FRESNO COUNTY
