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Licensing details for: 5259

Name: AESTHETIC DENTAL DESIGNS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

1006 H STREET
MODESTO CA 95354
STANISLAUS county
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Issuance Date

November 2, 2004

Expiration Date

May 31, 2010

Current Date / Time

June 6, 2025
10:1:39 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HAYASHI, RANDALL TOYSON

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RICE, JEFFREY SCOTT

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: RICE, JEFFREY SCOTT

License/Registration Type: Dentist License

License Number: 41529 Primary Status: Current - Active

Address :
3950 Geer Rd
TURLOCK CA 95382-1147
STANISLAUS 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: 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

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