Dental Board of California
Licensing details for: 876
Name: VALLEY OAK DENTAL GROUP, D.HOOVER, M.HOCHHALTER, B.MOREHEAD
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
J.TRUEB, E.TONN, R. CICCARELLI DDS
1507 WEST YOSEMITE AVE
MANTECA CA 95336
SAN JOAQUIN county
Map
License Relationships
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: 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
