# DR. KAMRAN DASTOURY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275831208
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 000203543 | CO | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 101382 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A146736 | CA | — |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 05/05/2018