Shahram Fazilat
ActiveCalifornia 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
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
515 South Dr Ste 17
Mountain View, CA 94040-4209
Mountain View, CA 94040-4209
Santa Clara County