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Licensing details for: 106279

Name: CISNEROS, MARIA CRISTINA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

34766 CAPROCK RD
AGUA DULCE CA 91390
LOS ANGELES county
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Practice Location

16380 Village Way
SANTA CLARITA CA 91387-2108
LOS ANGELES county
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38209 47th St E
Suite E
PALMDALE CA 93552-3113
LOS ANGELES county
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Issuance Date

June 22, 2021

Expiration Date

August 31, 2027

Current Date / Time

April 2, 2026
2:35:10 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: Dentists on Sand Canyon, Dental Group of Dentists on Sand Canyon, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20221 Primary Status: Current - Active

Address :
16380 Village Way
SANTA CLARITA CA 91387

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