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Licensing details for: 60377

Name: TAJBAKHSH, MOJDEH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: TABARSI, MOJDEH

Address of Record

5421 W Sunnyview Ave
VISALIA CA 93291-9035
TULARE county
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Practice Location

224 N M St
TULARE CA 93274-4139
TULARE county
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Issuance Date

May 31, 2011

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
8:35:24 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: TAJBAKHSH, MOJDEH

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3392 Primary Status: Cancelled

Address :
1515 W Shaw Ave
Ste 101
FRESNO CA 93711
FRESNO COUNTY

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