Dental Board of California
Licensing details for: 41363
Name: CALIXTO, LUIS EDUARDO
License Type: Dentist
Primary Status: Current - Active
Previous Names: CALIXTO-URIBE, LUIS EDUARDO
Address of Record
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO county
Map
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: BEAUTIFUL SMILE DENTISTRY, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4176 Primary Status: Current - Active
Address :
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: CALIXTO, LUIS EDUARDO
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3460 Primary Status: Cancelled
Address :
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO COUNTY
