| NPI | 1528715570 |
|---|---|
| Doing Business As | MARK TAVAKOLI DDS DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | MARK MAJID TAVAKOLI CEO 925-285-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-03-24 |