Dental Board of California
Licensing details for: 9158
Name: VALLEY OAK DENTAL GROUP, R. CICCARELLI, DDS., R. JOSEPH, DDS., M.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HOCHHALTER, MARK A
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: JOSEPH, RONY GEORGE
License/Registration Type: Dentist License
License Number: 42922 Primary Status: Current - Active
Address :
1507 W Yosemite Ave
MANTECA CA 95337-5159
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
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: GRECCO, MARK ADRIAN
License/Registration Type: Dentist License
License Number: 34614 Primary Status: Current - Active
Address :
1511 WEST YOSEMITE
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: 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
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: EL FARRA, MOHAMMAD YAZEED
License/Registration Type: Dentist License
License Number: 51062 Primary Status: Current - Active
Address :
1507 W YOSEMITE AVE
MANTECA CA 95337
SAN JOAQUIN COUNTY
