Dental Board of California
Licensing details for: 9355
Name: CALIFORNIA KIDDS PEDIATRIC DENTISTRY, DENTAL PRACTICE OF JEFFREY
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
Previous Names: CALIFORNIA KIDDS PEDIATRIC DENTISTRY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EVANS, JEFFREY BAIRD
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: 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
