Dental Board of California
Licensing details for: 18318
Name: BRITE DENTAL GROUP TAVAKOLI DENTAL CORP
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: TAVAKOLI, ALI REZA
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: TAVAKOLI, ALI REZA
License/Registration Type: Dentist License
License Number: 46985 Primary Status: Current - Active
Address :
1221 N HARBOR BLVD
ANAHEIM CA 92801
ORANGE COUNTY
