Dental Board of California
Licensing details for: 10431
Name: MORTEZA MAZLOOM, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: MORTEZA MAZLOOM
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MAZLOOM, MORTEZA
License/Registration Type: Dentist License
License Number: 49596 Primary Status: Current - Active
Address :
5370 Hollister Ave
Suite A
SANTA BARBARA CA 93111-2303
SANTA BARBARA COUNTY
