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Licensing details for: 3748

Name: NATEN, COURTNEY ALAN

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

8880 Elk Grove Blvd
ELK GROVE CA 95624-1832
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Issuance Date

March 21, 2018

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
11:19:45 PM

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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: NATEN, COURTNEY ALAN

License/Registration Type: Dentist License

License Number: 61842 Primary Status: Current - Active

Address :
8880 Elk Grove Blvd
ELK GROVE CA 95624-1832
SACRAMENTO COUNTY

Map

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