Dental Board of California
Licensing details for: 35699
Name: CICCARELLI, RUDOLPH RENE
License Type: Dentist
Primary Status: Current - Active
Previous Names: CICCARELLI, RUDY
Address of Record
1507 WEST YOSEMITE AVE
MANTECA CA 95336
SAN JOAQUIN county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: M HOCHHALTER, DDS, B MOREHEAD, DDS, M BLEDSOE, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8173 Primary Status: Cancelled
Address :
1511 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: R. CICCARELLI, DDS., R. JOSEPH, DDS., M. EI FARRA, DDS., D. SAINI, DDS., INC.
License/Registration Type: Additional Office Permit
License Number: 79075 Primary Status: Expired
Address :
1511 W Yosemite Ave
MANTECA CA 95337-5159
SAN JOAQUIN COUNTY
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEY OAK DENTAL GROUP, D.HOOVER, M.HOCHHALTER, B.MOREHEAD
License/Registration Type: Fictitious Name Permit
License Number: 876 Primary Status: Cancelled
Address :
J.TRUEB, E.TONN, R. CICCARELLI DDS
1507 WEST YOSEMITE AVE
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, D.HOOVER, M.HOCHHALTER, B.MOREHEAD
License/Registration Type: Fictitious Name Permit
License Number: 876 Primary Status: Cancelled
Address :
J.TRUEB, E.TONN, R. CICCARELLI DDS
1507 WEST YOSEMITE AVE
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, R. CICCARELLI, DDS., R. JOSEPH, DDS., M.
License/Registration Type: Fictitious Name Permit
License Number: 9158 Primary Status: Current - Active
Address :
1507 W YOSEMITE AVENUE
MANTECA CA 95337
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
