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Licensing details for: 14080

Name: MARTHA I VELEZ D.D.S. D.B.A. HAPPY TEETH DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1111 W 4TH ST STE A
MADERA CA 93637
MADERA county
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Practice Location

1111 W 4TH ST STE A
MADERA CA 93637
MADERA county
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Issuance Date

March 7, 2018

Expiration Date

June 30, 2019

Current Date / Time

June 6, 2025
2:8:18 AM

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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