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Licensing details for: 4471

Name: NAVARRO, ISAAC ROBERT

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4148 S. Demaree St
Suite A
VISALIA CA 93277
TULARE county
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Practice Location

4148 S. Demaree St
Suite B
4148 S. Demaree St
VISALIA CA 93277
TULARE county
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Issuance Date

May 30, 2024

Expiration Date

February 28, 2026

Current Date / Time

June 7, 2025
7:20:35 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SPECIAL SMILES CENTER DENTAL OFFICE OF DR. ISAAC NAVARRO

License/Registration Type: Fictitious Name Permit

License Number: 18533 Primary Status: Current - Active

Address :
4148 S. DEMAREE ST SUITE B
VISALIA CA 93277
TULARE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLOVIS CROSSING DENTAL GROUP, KUNAL SOOD DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16480 Primary Status: Current - Active

Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NAGLEE DENTAL GROUP ISAAC NAVARRO AND BEVAN FAREID DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14498 Primary Status: Cancelled

Address :
2682 NAGLEE ROAD, STE 110
TRACY CA 95304
SAN JOAQUIN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHAMPLAIN DENTISTRY DENTAL GROUP, FAREID AND NAVARRO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14523 Primary Status: Cancelled

Address :
1193 E CHAMPLAIN DR
FRESNO CA 93720
FRESNO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLOVIS CROSSING DENTAL GROUP, C.G. GHAZAL AND A.K. GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14546 Primary Status: Cancelled

Address :
1095 HERNDON AVE STE 102
CLOVIS CA 93612
FRESNO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NAGLEE DENTAL GROUP, ENTABI AND FAREID DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16562 Primary Status: Current - Active

Address :
2682 NAGLEE ROAD. SUITE 110
TRACY CA 95304
SAN JOAQUIN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISALIA MODERN DENTISTRY DENTAL GROUP, ISAAC NAVARRO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13609 Primary Status: Cancelled

Address :
3206 N DINUBA BLVD STE F
VISALIA CA 93291
TULARE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISALIA MODERN DENTISTRY DENTAL GROUP, NAVARRO AND MELARA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16441 Primary Status: Expired

Address :
3206 N. DINUBA BLVD., SUITE F
VISALIA CA 93291
TULARE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FIG GARDEN DENTAL GROUP GHAZAL, GILL AND NAVARRO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14545 Primary Status: Cancelled

Address :
1008 W SHAW AVE STE 105
FRESNO CA 93711
FRESNO 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: NAVARRO, ISAAC ROBERT

License/Registration Type: Dentist License

License Number: 57304 Primary Status: Current - Active

Address :
4148 S DEMAREE ST
Suite A
VISALIA CA 93277
TULARE COUNTY

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