License Directory

Shahram Fazilat

Active

California license 57030

License

Licensed by
Dental Board of California
License number
57030
Status
Active (Current)
First issued
May 16, 2008
Expires
March 31, 2028
License holder
Shahram Fazilat
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

515 South Dr Ste 17
Mountain View, CA 94040-4209
Santa Clara County