Dental Board of California
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
Map
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
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



