Organization
AFSHIN DOOSTAN,D.D.S.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN DOOSTAN D.D.S. (OWNER)
(310) 370-4030
Entity
Organization
Contact information
Practice address
16502 HAWTHORNE BLVD, LAWNDALE, CA 90260-2915
(310) 370-4030
(310) 370-1089
Mailing address
16502 HAWTHORNE BLVD, LAWNDALE, CA 90260-2915
(310) 370-4030
(310) 370-1089
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
10/07/2007
Last updated
10/07/2007
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