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Licensing details for: 1075

Name: MARTINEZ, CHRISTIE LYNN

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Secondary Status: Licensure by Residency

Address of Record

305 Walnut Ave
SAN DIEGO CA 92103-4904
SAN DIEGO county
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Issuance Date

March 6, 2007

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
3:58:18 PM

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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: MARTINEZ, CHRISTIE LYNN

License/Registration Type: Dentist License

License Number: 46495 Primary Status: Current - Active

Address :
305 Walnut Ave
SAN DIEGO CA 92103-4904
SAN DIEGO COUNTY

Map

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