Dental Board of California
Licensing details for: 39568
Name: TAVAKOLI, MARK MAJID
License Type: Dentist
Primary Status: Current - Active
Previous Names: TAVAKKOLIJOU, MAJID REZA
Address of Record
485 34th Street
102
OAKLAND CA 94609-2823
ALAMEDA county
Map
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: MARK TAVAKOLI, DDS
License/Registration Type: Additional Office Permit
License Number: 82676 Primary Status: Current - Active
Address :
8105 Edgewater Dr Ste 1
OAKLAND CA 94621-2019
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: MARK M TAVAKOLI, DDS
License/Registration Type: Additional Office Permit
License Number: 8282 Primary Status: Cancelled
Address :
300 E LELEND RD, STE 205
PITTSBURG CA 94565
CONTRA COSTA 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: Welcome kids Dental, dental practice of mark Tavakoli DDS Dental corporation
License/Registration Type: Fictitious Name Permit
License Number: 19849 Primary Status: Current - Active
Address :
8105 Edgewater Dr Suite 1
OAKLAND CA 94621-2028
ALAMEDA 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: MMT ORTHODONTICS, A DENTAL PRACTICE OF MARK M TAVAKOLI,
License/Registration Type: Fictitious Name Permit
License Number: 5001 Primary Status: Cancelled
Address :
300 E LELAND AVE, STE 205
PITTSBURG CA 94565
CONTRA COSTA 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: MMT ORTHODONTICS, A DENTAL PRACTICE OF MARK M TAVAKOLI,
License/Registration Type: Fictitious Name Permit
License Number: 5000 Primary Status: Cancelled
Address :
1098 FOSTER CITY BLVD
STE 102
FOSTER CITY CA 94404
SAN MATEO 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: WELCOME ORTHODONTICS DENTAL PRACTICE OF MARK TAVAKOLI DDS, DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17734 Primary Status: Current - Active
Address :
485 34TH STREET, SUITE 102
OAKLAND CA 94609
ALAMEDA 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: Welcome orthodontics, Dental office of Mark Tavakoli DDS Dental Corporation
License/Registration Type: Fictitious Name Permit
License Number: 19655 Primary Status: Current - Active
Address :
8105 Edgewater Drive Suite 1
OAKLAND CA 94621-2028
ALAMEDA COUNTY



