Dental Board of California
Licensing details for: 61757
Name: SCHMIDT, CHRISTIAN DAVID
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11508 Grimaldi Rd
RANCHO CUCAMONGA CA 91701-9220
SAN BERNARDINO 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: SCHMIDT AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79953 Primary Status: Current - Active
Address :
16944 S HIGHLAND AVENUE STE 400
FONTANA CA 92336
SAN BERNARDINO 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: JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79265 Primary Status: Cancelled
Address :
16745 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF FONTANA DENTAL GROUP SCHMIDT AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14725 Primary Status: Current - Active
Address :
16944 S. HIGHLAND AVENUE, SUITE 400
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA LAKES DENTAL GROUP JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13409 Primary Status: Expired
Address :
16475 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA LAKES DENTAL GROUP, JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19128 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PARKWAY, SUITE 140
FONTANA CA 92336
SAN BERNARDINO 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: SIERRA LAKES DENTAL GROUP JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13409 Primary Status: Expired
Address :
16475 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
SAN BERNARDINO 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: SIERRA LAKES DENTAL GROUP, JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19128 Primary Status: Current - Active
Address :
16475 SIERRA LAKES PARKWAY, SUITE 140
FONTANA CA 92336
SAN BERNARDINO 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: DENTISTS OF FONTANA DENTAL GROUP SCHMIDT AND JEFFERSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14725 Primary Status: Current - Active
Address :
16944 S. HIGHLAND AVENUE, SUITE 400
FONTANA CA 92336
SAN BERNARDINO COUNTY
