Dr. Mark Majid Tavakoli
Orthodontists
310 N Civic Dr Apt 501
Walnut Creek
, California 94596-3694
Dr. Mark Majid Tavakoli
Orthodontists
310 N Civic Dr Apt 501
Walnut Creek
, California 94596-3694
(925) 285-2125
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Mark Majid Tavakoli
- 310 N Civic Dr Apt 501
- Walnut Creek, CA
- Zip : 94596-3694
- Phone : (925) 285-2125
Second Address
- Dr. Mark Majid Tavakoli
- 310 N Civic Dr Apt 501
- Walnut Creek, CA
- Zip : 94596-3694
- Phone : (925) 285-2125
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Is Dr. Mark Majid Tavakoli a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 39568 | CA |
National Provider Identifier
| NPI | 1013482868 |
|---|---|
| Provider Name | Dr. Mark Majid Tavakoli |
| First Address | Walnut Creek, CA 94596-3694 |
| Second Address | Walnut Creek, CA 94596-3694 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.