Dental Board of California
Licensing details for: 4055
Name: DAVIS, ZACHERY TYLER
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: DAVIS, ZACHERY TYLER
License/Registration Type: Dentist License
License Number: 105061 Primary Status: Current - Active
Address :
1755 Lester Ave
CLOVIS CA 93619-7714
FRESNO COUNTY
