License holder summary

PROVENZANO NATALIE KRISTINE is a Dental License licensed to practice in California. The address on file for PROVENZANO NATALIE KRISTINE is 6128 CAMINO VERDE DRIVE SAN JOSE CA 95119. This licensed professional license is current. The license was granted 08/20/2002 and expired on 09/30/2016.

California

Department of Consumer Affairs

PROVENZANO NATALIE KRISTINE
Dental License
License number
49869
Date granted
08/20/2002
Date expires
09/30/2016
Class
Dental License
Status
Current
Address
6128 CAMINO VERDE DRIVE SAN JOSE CA 95119
californialicensing.org
ID 19800004
LAST UPDATED 2026-06-09 05:01:29 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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