Dental Board of California
Licensing details for: 6692
Name: SIERRA COMMONS DENTAL GROUP, EASLEY DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SIERRA COMMONS DENTAL GROUP. EASLEY DENTAL CORPORATION ❖ SIERRA COMMONS DENTAL GROUP
Address of Record
755 WEST RANCHO VISTA BLVD.
PALMDALE CA 93551
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: EASLEY, YASMIN ADHIAMBO
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: EASLEY, YASMIN ADHIAMBO
License/Registration Type: Dentist License
License Number: 39743 Primary Status: Current - Active
Address :
16849 Royal Pines Ln
CANYON COUNTRY CA 91387-8165
LOS ANGELES COUNTY
