Dental Board of California
Licensing details for: 61842
Name: NATEN, COURTNEY ALAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
8880 Elk Grove Blvd
ELK GROVE CA 95624-1832
SACRAMENTO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BOULEVARD FAMILY DENTISTRY DENTAL PRACTICE OF COURTNEY A. NATEN D.D.S. DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13291 Primary Status: Current - Active
Address :
8880 ELK GROVE BLVD
ELK GROVE CA 95624
SACRAMENTO 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: BOULEVARD FAMILY DENTISTRY DENTAL PRACTICE OF COURTNEY A. NATEN D.D.S. DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13291 Primary Status: Current - Active
Address :
8880 ELK GROVE BLVD
ELK GROVE CA 95624
SACRAMENTO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: NATEN, COURTNEY ALAN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3748 Primary Status: Current - Active
Address :
8880 Elk Grove Blvd
ELK GROVE CA 95624-1832
