# ABRISHAMI BASTI DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TLC Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679182869
- **Authorized official:** DR. SEPIDEH ABRISHAMI BASTI DDS (PRESIDENT)
- **Authorized official phone:** (714) 897-8980

## Contact information

- **Practice address:** 6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
- **Practice address phone:** (714) 897-8980
- **Mailing address:** 6552 BOLSA AVE STE Q, HUNTINGTON BEACH, CA 92647-2656
- **Mailing address phone:** (714) 897-8980

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 09/16/2020