Dental Board of California
Licensing details for: 13281
Name: TONN, ELVERNE M
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Radiation Safety Certification issued by the Board ❖ Reduced Renewal Fee
Practice Location
1361 S. Lower Sacramento Rd.
Suite #601
LODI CA 95242
SAN JOAQUIN county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEY OAK DENTAL GROUP, DENNIS HOOVER, ET AL ,
License/Registration Type: Fictitious Name Permit
License Number: 807 Primary Status: Cancelled
Address :
1507 WEST YOSEMITE
MANTECA CA 95336
SAN JOAQUIN COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: VALLEY OAK DENTAL GROUP, DENNIS HOOVER, ET AL ,
License/Registration Type: Fictitious Name Permit
License Number: 807 Primary Status: Cancelled
Address :
1507 WEST YOSEMITE
MANTECA CA 95336
SAN JOAQUIN COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: TONN, ELVERNE M
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 260 Primary Status: Cancelled
Address :
2420 BELLCHASE DRIVE
MANTECA CA 95336
SAN JOAQUIN COUNTY
