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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