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Licensing details for: 46223

Name: LEVI, MARSHA TAVAKOLI

License Type: Dentist

Primary Status: Current - Active

Previous Names: TAVAKOLI, MARSHA MAHSA

Address of Record

254 NORTH BRISTOL AVE
LOS ANGELES CA 90049
LOS ANGELES county
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Practice Location

6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES county
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Issuance Date

August 3, 1999

Expiration Date

September 30, 2026

Current Date / Time

December 15, 2025
12:10:53 AM

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

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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: 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

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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: 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

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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: 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

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