Dental Board of California
Licensing details for: 61358
Name: CHRISTENSEN, NATHAN FJELDSTED
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: CHRISTENSEN, NATHAN F
Address of Record
10652 El Caballo Ave
SAN DIEGO CA 92127-3310
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NATHAN CHRISTENSEN, DDS
License/Registration Type: Additional Office Permit
License Number: 80021 Primary Status: Expired
Address :
2648 Jamacha Rd Ste 166
EL CAJON CA 92019-4346
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: JOEL HENRIOD, DDS
License/Registration Type: Additional Office Permit
License Number: 80030 Primary Status: Expired
Address :
2648 JAMACHA ROAD #166
EL CAJON CA 92019
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN DIEGO CHILDREN'S DENTISTRY DENTAL GROUP OF NATHAN CHRISTENSEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 14933 Primary Status: Expired
Address :
12324 OAK KNOLL RD
POWAY CA 92064
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: SAN DIEGO CHILDREN'S DENTISTRY DENTAL GROUP OF NATHAN CHRISTENSEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 14933 Primary Status: Expired
Address :
12324 OAK KNOLL RD
POWAY CA 92064
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: CHRISTENSEN, NATHAN FJELDSTED
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3279 Primary Status: Current - Active
Address :
2648 JAMACHA RD STE 166
EL CAJON CA 92019
SAN DIEGO COUNTY
