Dental Board of California
Licensing details for: 5000
Name: MMT ORTHODONTICS, A DENTAL PRACTICE OF MARK M TAVAKOLI,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1098 FOSTER CITY BLVD
STE 102
FOSTER CITY CA 94404
SAN MATEO county
Map
License Relationships
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, MARK MAJID
License/Registration Type: Dentist License
License Number: 39568 Primary Status: Current - Active
Address :
485 34th Street
102
OAKLAND CA 94609-2823
ALAMEDA COUNTY
