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Licensing details for: 8173

Name: M HOCHHALTER, DDS, B MOREHEAD, DDS, M BLEDSOE, DDS, INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: M HOCHHALTER, DDS, B MOREHEAD, M BLEDSOE, DDS, INC

Address of Record

1511 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN county
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Issuance Date

February 2, 2004

Expiration Date

June 30, 2016

Current Date / Time

June 6, 2025
3:36:6 PM

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: ATROUNI, MARWAN Y

License/Registration Type: Dentist License

License Number: 44566 Primary Status: Current - Active

Address :
1950 W Corporate Way
PMB 92588
ANAHEIM CA 92801-5373
ORANGE COUNTY

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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

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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

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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: BLEDSOE, MARVIN RUSSELL

License/Registration Type: Dentist License

License Number: 30745 Primary Status: Cancelled

Address :
1507 WEST YOSEMITE AVENUE
MANTECA CA 95337
SAN JOAQUIN COUNTY

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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

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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: HOCHHALTER, MARK A

License/Registration Type: Dentist License

License Number: 26998 Primary Status: Cancelled

Address :
1507 WEST YOSEMITE
MANTECA CA 95336
SAN JOAQUIN COUNTY

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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

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