Dental Board of California
Licensing details for: 5785
Name: MURRIETA FAMILY DENTAL GROUP, DR. MARSHA TAVAKOLI
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
40643 CALIFORNIA OAKS RD
MURRIETA CA 92562
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAVAKOLI, MARSHA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEVI, MARSHA TAVAKOLI
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: LEVI, MARSHA TAVAKOLI
License/Registration Type: Dentist License
License Number: 46223 Primary Status: Current - Active
Address :
6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES COUNTY
