Dental Board of California
Licensing details for: 46985
Name: TAVAKOLI, ALI REZA
License Type: Dentist
Primary Status: Current - Active
Previous Names: TAVAKOLI PARSA, ALI REZA
Address of Record
1221 N HARBOR BLVD
ANAHEIM CA 92801
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRITE DENTAL GROUP TAVAKOLI DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 18318 Primary Status: Current - Active
Address :
1221 N HARBOR BLVD
ANAHEIM CA 92801-2421
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PARSA BRITE DENTAL GROUP, PARSA INC
License/Registration Type: Fictitious Name Permit
License Number: 4214 Primary Status: Cancelled
Address :
1573 SOUTH HARBOR BLVD
FULLERTON CA 92832
ORANGE 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: PARSA BRITE DENTAL GROUP, PARSA INC
License/Registration Type: Fictitious Name Permit
License Number: 4214 Primary Status: Cancelled
Address :
1573 SOUTH HARBOR BLVD
FULLERTON CA 92832
ORANGE 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: BRITE DENTAL GROUP TAVAKOLI DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 18318 Primary Status: Current - Active
Address :
1221 N HARBOR BLVD
ANAHEIM CA 92801-2421
ORANGE COUNTY
