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Licensing details for: 12166

Name: HAPPY TEETH DENTAL OFFICE, DENTAL OFFICE OF MARTHA I. VELEZ D.D.S

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: HAPPY TEETH DENTAL MARTHA I. VELEZ, D.D.S

Address of Record

1431 W. SHAW AVENUE
FRESNO CA 93711
FRESNO county
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Issuance Date

June 10, 2015

Expiration Date

June 30, 2017

Current Date / Time

June 6, 2025
10:44:17 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VELEZ, MARTHA IMELDA

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: VELEZ, MARTHA IMELDA

License/Registration Type: Dentist License

License Number: 47005 Primary Status: Current - Active

Address :
469 N Fresno St
FRESNO CA 93701-2311
FRESNO COUNTY

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