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Licensing details for: 9679

Name: ROTUNDA DENTAL CARE, A DENTAL PRACTICE OF RANDALL HAYASHI, DDS, I

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Previous Names: ROTUNDA DENTAL CARE

Address of Record

300 FRANK OGAWA PLAZA, STE. 100
OAKLAND CA 94612
ALAMEDA county
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Practice Location

300 FRANK OGAWA PLAZA, STE. 100
OAKLAND CA 94612
ALAMEDA county
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Issuance Date

December 15, 2011

Expiration Date

November 30, 2019

Current Date / Time

June 6, 2025
2:8:13 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HAYASHI, RANDALL TOYSON

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: 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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