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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
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Issuance Date

August 2, 1991

Expiration Date

May 31, 2028

Current Date / Time

June 14, 2026
7:02:48 PM

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

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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

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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

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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

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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

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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

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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

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