Make A Smile Dental Group, Tavallaei D.M.D., Corp.
ActiveCalifornia license 18608
License
- Licensed by
- Dental Board of California
- License number
- 18608
- Status
- Active (Current)
- First issued
- May 15, 2024
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Tavallaei Monica (48036)
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Contact
5756 Pacific Ave #75a
Stockton, CA 95207
Stockton, CA 95207
San Joaquin County