Dental Board of California
Licensing details for: 55681
Name: ROQUE, EDGAR DONES
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Public Reprimand
Address of Record
420 W. SHIELDS AVE
FRESNO CA 93705
FRESNO 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: EDGAR D ROQUE DDS INC
License/Registration Type: Additional Office Permit
License Number: 10404 Primary Status: Cancelled
Address :
719 N Douty St
HANFORD CA 93230-3986
KINGS 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: EDGAR D. ROQUE, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 81008 Primary Status: Current - Active
Address :
719 N. DOUTY STREET
HANFORD CA 93230-3986
KINGS COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SHIELDS FAMILY DENTISTRY, DENTAL OFFICE OF EDGAR D. ROQUE, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 9212 Primary Status: Cancelled
Address :
420 WEST SHIELDS AVENUE
FRESNO CA 93705
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FRESNO FAMILY DENTISTRY, DENTAL OFFICE OF EDGAR D. ROQUE, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 7605 Primary Status: Cancelled
Address :
1658 N. BLACKSTONE AVE.
FRESNO CA 93703
FRESNO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VALLEY DENTAL CARE, DENTAL OFFICE OF EDGAR D. ROQUE, D.D.S, INC
License/Registration Type: Fictitious Name Permit
License Number: 9010 Primary Status: Cancelled
Address :
719 N DOUTY STREET
HANFORD CA 93230
KINGS 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: SHIELDS FAMILY DENTISTRY, DENTAL OFFICE OF EDGAR D. ROQUE, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 9212 Primary Status: Cancelled
Address :
420 WEST SHIELDS AVENUE
FRESNO CA 93705
FRESNO 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 DENTAL CARE, DENTAL OFFICE OF EDGAR D. ROQUE, D.D.S, INC
License/Registration Type: Fictitious Name Permit
License Number: 9010 Primary Status: Cancelled
Address :
719 N DOUTY STREET
HANFORD CA 93230
KINGS 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: FRESNO FAMILY DENTISTRY, DENTAL OFFICE OF EDGAR D. ROQUE, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 7605 Primary Status: Cancelled
Address :
1658 N. BLACKSTONE AVE.
FRESNO CA 93703
FRESNO 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: ROQUE, EDGAR DONES
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1707 Primary Status: Cancelled
Address :
719 N DOUTY ST
HANFORD CA 93230
KINGS COUNTY
