Dental Board of California
Licensing details for: 15664
Name: SKYLINE DENTAL STUDIO DENTAL PRACTICE OF MARJAN FATHI DDS, INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FATHI, MARJAN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: FATHI, MARJAN
License/Registration Type: Dentist License
License Number: 50748 Primary Status: Current - Active
Address :
450 Sutter St
RM 2021
SAN FRANCISCO CA 94108-4206
SAN FRANCISCO COUNTY
