Dental Board of California
Licensing details for: 260
Name: TONN, ELVERNE M
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
2420 BELLCHASE DRIVE
MANTECA CA 95336
SAN JOAQUIN county
Map
License Relationships
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
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: TONN, ELVERNE M
License/Registration Type: Dentist License
License Number: 13281 Primary Status: Cancelled
Address :
1361 S. Lower Sacramento Rd.
Suite #601
LODI CA 95242
SAN JOAQUIN COUNTY
