Dental Board of California
Licensing details for: 60714
Name: JOESTING, MICHAEL DAVID
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
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: JOESTING DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81228 Primary Status: Current - Active
Address :
3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HIGHLAND DENTAL GROUP, JOESTING DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17631 Primary Status: Current - Active
Address :
3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
PLACER 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: HIGHLAND DENTAL GROUP, JOESTING DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17631 Primary Status: Current - Active
Address :
3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
PLACER COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: DUONG, MYLAN
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 555 Primary Status: Current - Active
Address Not Disclosed
