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Licensing details for: 13150

Name: CHILDRENS DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: CHILDREN’S DENTISTRY AND ORTHODONTICS A DENTAL OFFICE OF STEVE O'HARA, JORDAN PRIETO, JEFFREY EVANS AND JEFFREY KUNKEL

Address of Record

1705 N. FINE AVENUE, SUITE 102
FRESNO CA 93727
FRESNO county
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Practice Location

1705 N. FINE AVENUE, SUITE 102
FRESNO CA 93727
FRESNO county
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Issuance Date

November 14, 2016

Expiration Date

July 31, 2027

Current Date / Time

December 13, 2025
1:46:37 PM

License Relationships

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: O'HARA, STEPHEN DONALD

License/Registration Type: Dentist License

License Number: 46666 Primary Status: Current - Active

Address :
7770 N Fresno St Ste 101
FRESNO CA 93720-2412
FRESNO COUNTY

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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

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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: PRIETO, JORDAN DAVID

License/Registration Type: Dentist License

License Number: 61309 Primary Status: Current - Active

Address :
1900 Shaw Ave
101
CLOVIS CA 93611-4208
FRESNO COUNTY

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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

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