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Organization
AFSHIN DOOSTAN DDS INC
Active
Organization
AFSHIN DOOSTAN DDS INC
Active
Other names
Afshin Doostan, D.d.s., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN DOOSTAN D.D.S. (OWNER/ DOCTOR)
(310) 327-8612
Entity
Organization
Contact information
Practice address
14017 VAN NESS AVE, GARDENA, CA 90249-2915
(310) 327-8612
(310) 327-5177
Mailing address
14017 VAN NESS AVE, GARDENA, CA 90249-2915
(310) 327-8612
(310) 327-5177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G89838
—
CA
Enumeration date
02/27/2017
Last updated
11/04/2022
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