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Licensing details for: 807

Name: VALLEY OAK DENTAL GROUP, DENNIS HOOVER, ET AL ,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1507 WEST YOSEMITE
MANTECA CA 95336
SAN JOAQUIN county
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Issuance Date

January 24, 1992

Expiration Date

April 30, 1997

Current Date / Time

June 7, 2025
4:24:20 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOOVER, DENNIS R

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOREHEAD, BONNIE JAY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOCHHALTER, MARK A

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TRUEB, JOHN CHARLES

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TONN, ELVERNE M

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CICCARELLI, RUDOLPH RENE

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: 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

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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: 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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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

Map

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

Map

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: HOOVER, DENNIS R

License/Registration Type: Dentist License

License Number: 26867 Primary Status: Cancelled

Address :
7113 CAROLINA CT
MODESTO CA 95356
STANISLAUS COUNTY

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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: TRUEB, JOHN CHARLES

License/Registration Type: Dentist License

License Number: 30949 Primary Status: Current - Active

Address :
16127 Cottage Ave
MANTECA CA 95336-8566
SAN JOAQUIN COUNTY

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