Dental Board of California
Licensing details for: 64345
Name: SIERRA, CRISTIAN AMADO
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN LUIS DENTAL CARE, A DENTAL PRACTICE OF CRISTIAN A. SIERRA, DMD, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13687 Primary Status: Cancelled
Address :
3920-5 BROAD ST
SAN LUIS OBISPO CA 93401
SAN LUIS OBISPO 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 LUIS DENTAL CARE, A DENTAL PRACTICE OF CRISTIAN A. SIERRA, DMD, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13687 Primary Status: Cancelled
Address :
3920-5 BROAD ST
SAN LUIS OBISPO CA 93401
SAN LUIS OBISPO COUNTY
