# AFSHIN DOOSTAN,D.D.S.,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932397734
- **Authorized official:** DR. AFSHIN DOOSTAN D.D.S. (OWNER)
- **Authorized official phone:** (310) 370-4030

## Contact information

- **Practice address:** 16502 HAWTHORNE BLVD, LAWNDALE, CA 90260-2915
- **Practice address phone:** (310) 370-4030
- **Practice address fax:** (310) 370-1089
- **Mailing address:** 16502 HAWTHORNE BLVD, LAWNDALE, CA 90260-2915
- **Mailing address phone:** (310) 370-4030
- **Mailing address fax:** (310) 370-1089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 46051 | CA | Yes |

## Other

- **Enumeration date:** 10/07/2007
- **Last updated:** 10/07/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | G89838 | — | CA |