Dental Board of California
Licensing details for: 19572
Name: SUMMIT ORAL AND FACIAL SURGERY DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
Address of Record
7525 N CEDAR AVE, SUITE 115
FRESNO CA 93720
FRESNO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: O'HARA, STEPHEN DONALD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PRIETO, JORDAN DAVID
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: COMBS, ANDREW JAMISON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EVANS, JEFFREY BAIRD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAVIS, ZACHERY TYLER
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: USTAREZ-OJI, ADRIANA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MACDONALD, DAVID WILLIAM
Address Not Disclosed
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: SHERATHIYA, KRUNAL KANTILAL
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: 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
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
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: DAVIS, ZACHERY TYLER
License/Registration Type: Dentist License
License Number: 105061 Primary Status: Current - Active
Address :
1755 Lester Ave
CLOVIS CA 93619-7714
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: 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
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: USTAREZ-OJI, ADRIANA
License/Registration Type: Dentist License
License Number: 60064 Primary Status: Current - Active
Address :
California KiDDS
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: COMBS, ANDREW JAMISON
License/Registration Type: Dentist License
License Number: 103042 Primary Status: Current - Active
Address :
1900 Shaw Ave
STE 102
CLOVIS CA 93611-4208
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: MACDONALD, DAVID WILLIAM
License/Registration Type: Dentist License
License Number: 106580 Primary Status: Current - Active
Address :
1900 Shaw Avenue
#101
CLOVIS CA 93611
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: SHERATHIYA, KRUNAL KANTILAL
License/Registration Type: Dentist License
License Number: 63268 Primary Status: Current - Active
Address :
997 E Champlain Dr
Ste 120
FRESNO CA 93720-0749
FRESNO COUNTY
