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Licensing details for: 5102

Name: CALIFORNIA SMILES, DENTAL OFFICE OF KIMMER E YOUNG, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

302 FRESNO ST, STE 204
FRESNO CA 93706
FRESNO county
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Issuance Date

August 3, 2004

Expiration Date

December 31, 2007

Current Date / Time

June 6, 2025
10:6:8 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WHISENHUNT, CHERYL ANN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOUNG, KIMMER EUGENE

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: YOUNG, KIMMER EUGENE

License/Registration Type: Dentist License

License Number: 45065 Primary Status: Current - Active

Address :
2401 W. CLEVELAND AVE
MADERA CA 93637
MADERA 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: WHISENHUNT, CHERYL ANN

License/Registration Type: Dentist License

License Number: 43297 Primary Status: Current - Active

Address :
517 S Madera Ave
KERMAN CA 93630-1523
FRESNO COUNTY

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