Dental Board of California
Licensing details for: 9010
Name: VALLEY DENTAL CARE, DENTAL OFFICE OF EDGAR D. ROQUE, D.D.S, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: VALLEY DENTAL CARE DENTAL OFFICE OF EDGAR D. ROQUE, D.D.S, INC
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ROQUE, EDGAR DONES
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: ROQUE, EDGAR DONES
License/Registration Type: Dentist License
License Number: 55681 Primary Status: Current - Active
Address :
420 W. SHIELDS AVE
FRESNO CA 93705
FRESNO COUNTY
