Dental Board of California
Licensing details for: 1309
Name: MACDONALD, DAVID WILLIAM
License Type: Conscious Sedation
Primary Status: Cancelled
Secondary Status: Cancelled at the Request of the Licensee
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: MACDONALD, DAVID WILLIAM
License/Registration Type: Dentist License
License Number: 106580 Primary Status: Current - Active
Address :
1900 Shaw Avenue
#101
CLOVIS CA 93611
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: 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
