Dental Board of California
Licensing details for: 46223
Name: LEVI, MARSHA TAVAKOLI
License Type: Dentist
Primary Status: Current - Active
Previous Names: TAVAKOLI, MARSHA MAHSA
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: MARSHA TAVAKOLI, DDS
License/Registration Type: Additional Office Permit
License Number: 8669 Primary Status: Cancelled
Address :
40643 CALIFORNIA OAKS RD
MURRIETA CA 92562
RIVERSIDE 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: LAKE ELSINORE DENTAL GROUP, MARSHA TAVAKOLI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 5786 Primary Status: Cancelled
Address :
32235 MISSION TRAIL RD, STE 8
LAKE ELSINORE CA 92530
RIVERSIDE 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: MURRIETA FAMILY DENTAL GROUP, DR. MARSHA TAVAKOLI
License/Registration Type: Fictitious Name Permit
License Number: 5785 Primary Status: Cancelled
Address :
40643 CALIFORNIA OAKS RD
MURRIETA CA 92562
RIVERSIDE 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: LAKE ELSINORE DENTAL GROUP DRS. SOHEIL & MARSHA LEVI
License/Registration Type: Fictitious Name Permit
License Number: 12999 Primary Status: Cancelled
Address :
32235 MISSION TRAIL ROAD
SUITE 8, 9, 10
LAKE ELSINORE CA 92530



