Organization
MARK TAVAKOLI DDS DENTAL CORPORATION
Active
Other names
Mark Tavakoli DDs Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MAJID TAVAKOLI DDS (CEO)
(925) 285-2125
Entity
Organization
Contact information
Practice address
485 34TH ST STE 102, OAKLAND, CA 94609-2823
(925) 285-2125
Mailing address
2210 LOCH LN, WALNUT CREEK, CA 94598-3369
(925) 285-2125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/24/2023
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