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Licensing details for: 7707

Name: AESTHETIC DENTAL DESIGNS, DENTAL OFFICE OF RANDALL T. HAYASHI, DD

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1006 H STREET
MODESTO CA 95354
STANISLAUS county
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Issuance Date

October 22, 2008

Expiration Date

May 31, 2012

Current Date / Time

December 13, 2025
7:53:54 AM

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: 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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