Dental Board of California
Licensing details for: 62668
Name: LE, NATALIE KIM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NATALIE LE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80162 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NATALIE LE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79081 Primary Status: Cancelled
Address :
5001 E Ramon Rd
Suite 104
PALM SPRINGS CA 92264-1543
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13048 Primary Status: Cancelled
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15172 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE 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: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13048 Primary Status: Cancelled
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE 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: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15172 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
