Dental Board of California
Licensing details for: 79075
Name: R. CICCARELLI, DDS., R. JOSEPH, DDS., M. EI FARRA, DDS., D. SAINI, DDS., INC.
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: JOSEPH, RONY GEORGE
License/Registration Type: Dentist License
License Number: 42922 Primary Status: Current - Active
Address :
1507 W Yosemite Ave
MANTECA CA 95337-5159
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: EL FARRA, MOHAMMAD YAZEED
License/Registration Type: Dentist License
License Number: 51062 Primary Status: Current - Active
Address :
1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: CICCARELLI, RUDOLPH RENE
License/Registration Type: Dentist License
License Number: 35699 Primary Status: Current - Active
Address :
1507 WEST YOSEMITE AVE
MANTECA CA 95336
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MOREHEAD, BONNIE JAY
License/Registration Type: Dentist License
License Number: 28362 Primary Status: Current - Active
Address :
1507 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GRECCO, MARK ADRIAN
License/Registration Type: Dentist License
License Number: 34614 Primary Status: Current - Active
Address :
1511 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN COUNTY
