Dental Board of California
Licensing details for: 46495
Name: MARTINEZ, CHRISTIE LYNN
License Type: Dentist
Primary Status: Current - Active
Address of Record
305 Walnut Ave
SAN DIEGO CA 92103-4904
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STADIUM DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2813 Primary Status: Cancelled
Address :
8590 RIO SAN DIEGO DRIVE #110
SAN DIEGO CA 92108
SAN DIEGO COUNTY
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: STADIUM DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2813 Primary Status: Cancelled
Address :
8590 RIO SAN DIEGO DRIVE #110
SAN DIEGO CA 92108
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: MARTINEZ, CHRISTIE LYNN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1075 Primary Status: Current - Active
Address :
305 Walnut Ave
SAN DIEGO CA 92103-4904
SAN DIEGO COUNTY
