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Licensing details for: 50748

Name: FATHI, MARJAN

License Type: Dentist

Primary Status: Current - Active

Address of Record

450 Sutter St
RM 2021
SAN FRANCISCO CA 94108-4206
SAN FRANCISCO county
Map

Issuance Date

April 22, 2003

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
8:4:2 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SKYLINE DENTAL STUDIO DENTAL PRACTICE OF MARJAN FATHI DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 15664 Primary Status: Current - Active

Address :
450 SUTTER ST., SUITE 2021
SAN FRANCISCO CA 94108
SAN FRANCISCO COUNTY

Map

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: SKYLINE DENTAL STUDIO DENTAL PRACTICE OF MARJAN FATHI DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 15664 Primary Status: Current - Active

Address :
450 SUTTER ST., SUITE 2021
SAN FRANCISCO CA 94108
SAN FRANCISCO COUNTY

Map

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