Dental Board of California
Licensing details for: 12088
Name: CALIFORNIA KIDDS PEDIATRIC DENTISTRY OF CLOVIS, DENTAL PRACTICE O
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
Previous Names: CALIFORNIA DIDDS PEDIATRIC DENTISTRY OF CLOVIS, DENTAL PRACTICE OF JEFFREY EVANS, D.D.S., INC. AND JEFFREY KUNKEL, D.D.S., INC.
Address of Record
1900 SHAW AVENUE
CLOVIS CA 93611
FRESNO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KUNKEL, JEFF RALPH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EVANS, JEFFREY BAIRD
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: EVANS, JEFFREY BAIRD
License/Registration Type: Dentist License
License Number: 59512 Primary Status: Current - Active
Address :
7525 N. CEDAR AVE
SUITE 105
FRESNO CA 93720
FRESNO COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KUNKEL, JEFF RALPH
License/Registration Type: Dentist License
License Number: 60083 Primary Status: Current - Active
Address :
7525 N Cedar Ave Ste 105
FRESNO CA 93720-2698
FRESNO COUNTY
