Dental Board of California
Licensing details for: 1707
Name: ROQUE, EDGAR DONES
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Secondary Status: Public Reprimand
Address of Record
719 N DOUTY ST
HANFORD CA 93230
KINGS county
Map
License Relationships
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 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
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ROQUE, EDGAR DONES
License/Registration Type: Dentist License
License Number: 55681 Primary Status: Current - Active
Address :
420 W. SHIELDS AVE
FRESNO CA 93705
FRESNO COUNTY
