Dental Board of California
Licensing details for: 13687
Name: SAN LUIS DENTAL CARE, A DENTAL PRACTICE OF CRISTIAN A. SIERRA, DMD, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SIERRA, CRISTIAN AMADO
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: SIERRA, CRISTIAN AMADO
License/Registration Type: Dentist License
License Number: 64345 Primary Status: Current - Active
Address :
5960 West Mall Ste A
ATASCADERO CA 93422-4232
SAN LUIS OBISPO COUNTY
