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Licensing details for: 809

Name: LOMELI, NATASHA RENEE

License Type: RDH Alternative Practice

Primary Status: Current - Inactive

Specialty: Other California License(s) Held

Address not disclosed

Issuance Date

February 26, 2021

Expiration Date

October 31, 2026

Current Date / Time

April 4, 2026
10:02:32 PM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: DERAKSHAN, RAY

License/Registration Type: Dentist License

License Number: 46044 Primary Status: Current - Active

Address :
11134 Rancho Carmel Drive
103
SAN DIEGO CA 92128
SAN DIEGO COUNTY

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Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Registered Dental Hygienist

Name: LOMELI, NATASHA RENEE

License/Registration Type: Registered Dental Hygienist

License Number: 28931 Primary Status: Current - Active

Address Not Disclosed

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