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Licensing details for: 4055

Name: DAVIS, ZACHERY TYLER

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1917 MINARETS LN
CLOVIS CA 93611
FRESNO county
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Practice Location

1900 SHAW AVE
CLOVIS CA 93611
FRESNO county
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4220 W FIGARDEN DR STE 101
FRESNO CA 93722
FRESNO county
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7525 N CEDAR AVE STE 105
FRESNO CA 93720
FRESNO county
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997 E Champlain Dr
120
FRESNO CA 93720-0749
FRESNO county
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Issuance Date

August 24, 2020

Expiration Date

October 31, 2023

Current Date / Time

June 7, 2025
2:36:32 PM

License Relationships

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

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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

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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

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