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Licensing details for: 3392

Name: TAJBAKHSH, MOJDEH

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: TABARSI, MOJDEH

Address of Record

6341 W Prospect Ave
VISALIA CA 93291-8360
TULARE county
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Practice Location

1515 W Shaw Ave
Ste 101
FRESNO CA 93711
FRESNO county
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Issuance Date

December 21, 2015

Expiration Date

February 28, 2023

Current Date / Time

June 6, 2025
10:2:54 PM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: TAJBAKHSH, MOJDEH

License/Registration Type: Dentist License

License Number: 60377 Primary Status: Current - Active

Address :
224 N M St
TULARE CA 93274-4139
TULARE COUNTY

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