Dental Board of California
Licensing details for: 11355
Name: ALTADENTAL, DENTAL OFFICE OF NATALIE DERBOGHASSIANS DDS INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: ALTADENTAL DENTAL OFFICE OF DR. NATALIE BOGHOSIAN
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DERBOGHOSSIANS, NATALIE
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DERBOGHOSSIANS, NATALIE
License/Registration Type: Dentist License
License Number: 55001 Primary Status: Current - Active
Address :
2321 Panorama Dr
LA CRESCENTA CA 91214
LOS ANGELES COUNTY
