Dental Board of California
Licensing details for: 1121
Name: VALLEY OAK DENTAL GROUP M HOCHHALTER DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: VALLEY OAK DENTAL GROUP, M. HOCHHALTER, DDS ❖ VALLEY OAK DENTAL GROUP, M HOCHHALTER DDS
Address of Record
B MOREHEAD DDS M BLEDSOE DDS
1507 W YOSEMITE AVENUE
MANTECA CA 95337
SAN JOAQUIN county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
