Dental Board of California
Licensing details for: 4906
Name: VENTURA ENDODONTICS DENTAL GROUP,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Partnership
Address of Record
3277 TELEGRAPH RD
VENTURA CA 93003
VENTURA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LONGWILL, DENNIS G
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VOGEL, JAMES JOHN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JUE, TIMOTHY WAYNE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LONGWILL, DENNIS GLENN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JUE, TIMOTHY W
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VOGEL, JAMES J
Address Not Disclosed
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: LONGWILL, DENNIS GLENN
License/Registration Type: Dentist License
License Number: 23342 Primary Status: Cancelled
Address :
6628 OLD PACIFIC COAST HWY
VENTURA CA 93001
VENTURA 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: JUE, TIMOTHY WAYNE
License/Registration Type: Dentist License
License Number: 36774 Primary Status: Current - Active
Address :
3277 TELEGRAPH RD
VENTURA CA 93003
VENTURA 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: VOGEL, JAMES JOHN
License/Registration Type: Dentist License
License Number: 34010 Primary Status: Cancelled
Address :
2278 BRANT ST
ARROYO GRANDE CA 93420
SAN LUIS OBISPO COUNTY
