Dental Board of California
Licensing details for: 49596
Name: MAZLOOM, MORTEZA
License Type: Dentist
Primary Status: Current - Active
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: MORTEZA MAZLOOM, DDS
License/Registration Type: Additional Office Permit
License Number: 8446 Primary Status: Cancelled
Address :
164 KINMAN AVE, STE B
GOLETA CA 93117
SANTA BARBARA COUNTY
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: MORTEZA MAZLOOM, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 12046 Primary Status: Cancelled
Address :
5370 HOLLISTER AVENUE
SUITE J
SANTA BARBARA CA 93111
SANTA BARBARA COUNTY
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: MORTEZA MAZLOOM, DDS
License/Registration Type: Additional Office Permit
License Number: 10431 Primary Status: Cancelled
Address :
1510 SAN ANDRES ST
SANTA BARBARA CA 93117
SANTA BARBARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLETA DENTAL PRACTICE, MORTEZA MAZLOOM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 5384 Primary Status: Cancelled
Address :
164 KINMAN AVE., STE. B
GOLETA CA 93117
SANTA BARBARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AUBURN DENTAL ASSOCIATES, DR MAZLOOM DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 4117 Primary Status: Cancelled
Address :
1915 GRASS VALLEY HWY, #200
AUBURN CA 95603
PLACER COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GOLETA DENTAL PRACTICE MORTEZA MAZLOOM DDS
License/Registration Type: Fictitious Name Permit
License Number: 13842 Primary Status: Current - Active
Address :
5370 HOLLISTER AVE STE A
SANTA BARBARA CA 93111
SANTA BARBARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL PRACTICE, DR. M. MAZLOOM
License/Registration Type: Fictitious Name Permit
License Number: 9261 Primary Status: Cancelled
Address :
1510 SAN ANDRES STREET
SANTA BARBARA CA 93101
SANTA BARBARA 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: SMILE DENTAL PRACTICE, DR. M. MAZLOOM
License/Registration Type: Fictitious Name Permit
License Number: 9261 Primary Status: Cancelled
Address :
1510 SAN ANDRES STREET
SANTA BARBARA CA 93101
SANTA BARBARA 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: GOLETA DENTAL PRACTICE, MORTEZA MAZLOOM, DDS
License/Registration Type: Fictitious Name Permit
License Number: 5384 Primary Status: Cancelled
Address :
164 KINMAN AVE., STE. B
GOLETA CA 93117
SANTA BARBARA 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: GOLETA DENTAL PRACTICE MORTEZA MAZLOOM DDS
License/Registration Type: Fictitious Name Permit
License Number: 13842 Primary Status: Current - Active
Address :
5370 HOLLISTER AVE STE A
SANTA BARBARA CA 93111
SANTA BARBARA 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: AUBURN DENTAL ASSOCIATES, DR MAZLOOM DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 4117 Primary Status: Cancelled
Address :
1915 GRASS VALLEY HWY, #200
AUBURN CA 95603
PLACER COUNTY
