# DR. AFSHIN A FALLAH

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

## Provider details

- **NPI number:** 1306073432
- **Gender:** Man
- **Credential:** DDS, FICCMO, AIAOMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 35492 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/12/2013