Dental Board of California
Licensing details for: 46501
Name: MACIAS, AMBER MOORE
License Type: Dentist
Primary Status: Current - Active
Previous Names: MOORE, AMBER CATHERINE
Address of Record
1148 Macias Ct
SAN JOSE CA 95120-4247
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTEE COTTONWOOD DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3525 Primary Status: Cancelled
Address :
9715 MISSION GORGE RD
SANTEE CA 92071
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: SANTEE COTTONWOOD DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3525 Primary Status: Cancelled
Address :
9715 MISSION GORGE RD
SANTEE CA 92071
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: MACIAS, AMBER MOORE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1800 Primary Status: Cancelled
Address :
4922 RABBIT MOUNTAIN CT
COLORADO SPRINGS CO 80924
EL PASO 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: MACIAS, AMBER MOORE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1145 Primary Status: Cancelled
Address :
1148 Macias Ct
SAN JOSE CA 95120-4247
SANTA CLARA COUNTY
