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Licensing details for: 8446

Name: MORTEZA MAZLOOM, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

164 KINMAN AVE, STE B
GOLETA CA 93117
SANTA BARBARA county
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Issuance Date

January 12, 2005

Expiration Date

August 31, 2017

Current Date / Time

June 6, 2025
11:47:34 PM

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

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