Dental Board of California
Licensing details for: 24308
Name: JENSEN, MARVIN FLETCHER
License Type: Dentist
Primary Status: Expired
Secondary Status: Reduced Renewal Fee
Previous Names: JENSEN, MARVIN F
Address not disclosed
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2517 Primary Status: Expired
Address :
30592 Santa Margarita Pkwy
RANCHO SANTA MARGARITA CA 92688-5802
ORANGE 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: RANCHO DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 2517 Primary Status: Expired
Address :
30592 Santa Margarita Pkwy
RANCHO SANTA MARGARITA CA 92688-5802
ORANGE COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: JENSEN, MARVIN FLETCHER
License/Registration Type: General Anesthesia Permit
License Number: 1020 Primary Status: Cancelled
Address :
525 E SEASIDE WAY UNIT 2206
LONG BEACH CA 90802
LOS ANGELES COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: JENSEN, MARVIN F
License/Registration Type: General Anesthesia Permit
License Number: 132 Primary Status: Cancelled
Address :
716 SO GARFIELD AVE
ALHAMBRA CA 91801
LOS ANGELES COUNTY
