Dental Board of California
Licensing details for: 12555
Name: FAMILY DENTAL & SPECIALTY GROUP A DENTAL PRACTICE OF R.T HAYASHI,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: FAMILY DENTAL AND SPECIALTY GROUP PRACTICE OF R.T HAYASHI, D.D.S., INC ❖ FAMILY DENTAL & SPECIALTY GROUP PRACTICE OF R.T HAYASHI, D.D.S., INC
Address of Record
5723 MARCONI AVENUE, SUITE A
CARMICHAEL CA 95608
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAYASHI, RANDALL TOYSON
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: HAYASHI, RANDALL TOYSON
License/Registration Type: Dentist License
License Number: 36765 Primary Status: Current - Active
Address :
8102 Pollard Ave
FAIR OAKS CA 95628-6059
SACRAMENTO COUNTY
