Michael Makabeh | Peak Commercial California DRE #01411477
Specialized Facilities

Dental Commercial Real Estate

Dental facilities are among the most mechanically complex commercial properties in real estate. Michael Makabeh advises practitioners and medical building owners through acquisitions, sales, and site selection.

Technical Complexity

Why Dental Real Estate Is Not Generic Office Space

A standard commercial broker views an office as carpet and drywall. A dental office, however, is a sophisticated clinical production facility requiring specialized physical infrastructure.

1. Specialized Mechanicals & Plumbing

Dental operatories demand precision underground trenching or core drilling for water, vacuum, compressed air, and amalgam separators. Converting a standard commercial suite requires tens of thousands of dollars in sub-floor engineering alone.

2. Heavy Electrical & Imaging Demands

Modern dental practices rely on 3D CBCT imaging, in-office CAD/CAM milling centers, and sterilizers that require dedicated high-amperage subpanels and lead-lined radiation shielding in compliance with California health codes.

3. Medical Parking Ratios & Zoning

Southern California municipalities impose stringent parking requirements for medical and dental uses—often 5.0 stalls per 1,000 SF compared to 3.0 or 4.0 for general office. Signing a lease without verifying zoning can halt your practice before it opens.

4. Second-Generation Buildout Value

Acquiring or leasing an existing second-generation dental suite preserves between $300,000 and $600,000 in tenant improvement capital and bypasses 9 to 14 months of municipal permitting delays.

Hybrid Transactions

Selling the Building with the Practice

For doctors who own their commercial building or dental condominium, a practice sale presents unique financial and tax structuring opportunities.

When it is time to retire, doctors typically choose between two paths:

Complete Liquidation: Selling the clinical practice goodwill AND the commercial real estate simultaneously to an owner-user practitioner or investor group, generating a clean exit and substantial liquidity.
Retain Property as Landlord: Selling the practice goodwill to a buyer while executing a long-term, triple-net (NNN) commercial lease to remain the property owner—generating stable, inflation-hedged retirement income.

Michael Makabeh models both financial outcomes for doctors, factoring in cap rates, market rental rates, and tenant lease covenant strength.

Discuss a Dental Property

Whether buying a dental building, exploring condo ownership, or evaluating a 2nd-generation lease opportunity.