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Licensing details for: 55001

Name: DERBOGHOSSIANS, NATALIE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2321 Panorama Dr
LA CRESCENTA CA 91214
LOS ANGELES county
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Issuance Date

September 12, 2006

Expiration Date

November 30, 2026

Current Date / Time

December 13, 2025
7:59:11 AM

License Relationships

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: IMPERIAL SMILES FAMILY DENTAL, OFFICE OF NATALIE DERBOGHOSSIANS D

License/Registration Type: Fictitious Name Permit

License Number: 10710 Primary Status: Cancelled

Address :
11017 ATLANTIC AVENUE 2ND FLOOR
LYNWOOD CA 90262
LOS ANGELES COUNTY

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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: ALTADENTAL, DENTAL OFFICE OF NATALIE DERBOGHASSIANS DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 11355 Primary Status: Current - Active

Address :
2340 N LAKE AVENUE
ALTADENA CA 91001
LOS ANGELES COUNTY

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