Dental Board of California
Licensing details for: 23342
Name: LONGWILL, DENNIS GLENN
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Reduced Renewal Fee
Address of Record
6628 OLD PACIFIC COAST HWY
VENTURA CA 93001
VENTURA county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: LONGWILL, DENNIS GLENN
License/Registration Type: Conscious Sedation Permit
License Number: 48 Primary Status: Cancelled
Address :
3277 TELEGRAPH ROAD
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VENTURA ENDODONTICS DENTAL GROUP,
License/Registration Type: Fictitious Name Permit
License Number: 4906 Primary Status: Cancelled
Address :
3277 TELEGRAPH RD
VENTURA CA 93003
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VENTURA ENDODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 881 Primary Status: Cancelled
Address :
D LONGWILL DDS & J VOGEL DDS
3277 TELEGRAPH ROAD
VENTURA CA 93003
VENTURA 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: VENTURA ENDODONTIC DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 881 Primary Status: Cancelled
Address :
D LONGWILL DDS & J VOGEL DDS
3277 TELEGRAPH ROAD
VENTURA CA 93003
VENTURA 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: VENTURA ENDODONTICS DENTAL GROUP,
License/Registration Type: Fictitious Name Permit
License Number: 4906 Primary Status: Cancelled
Address :
3277 TELEGRAPH RD
VENTURA CA 93003
VENTURA COUNTY
