Dental Board of California
Licensing details for: 13291
Name: BOULEVARD FAMILY DENTISTRY DENTAL PRACTICE OF COURTNEY A. NATEN D.D.S. DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: BOULEVARD FAMILY DENTISTRY PRACTICE OF COURTNEY A. NATEN D.D.S. DENTAL CORPORATION
License Relationships
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: 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
