Dental Board of California
Licensing details for: 46051
Name: DOOSTAN, AFSHIN
License Type: Dentist
Primary Status: Current - Active
Address of Record
14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AFSHIN DOOSTAN, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9448 Primary Status: Cancelled
Address :
16502 HAWTHORNE BLVD.
LAWNDALE CA 90260
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AFSHIN DOOSTAN, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79264 Primary Status: Expired
Address :
14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILES PREMIER DENTAL PRACTICE, AFSHIN DOOSTAN. INC.
License/Registration Type: Fictitious Name Permit
License Number: 17065 Primary Status: Current - Active
Address :
14017 Van Ness Ave
GARDENA CA 90249-2915
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: GOLDEN CARE DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 3209 Primary Status: Cancelled
Address :
6330 - B VAN NUYS BLVD
VAN NUYS CA 91401
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HEALTHY SMILES PREMIER DENTAL PRACTICE, AFSHIN DOOSTAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8211 Primary Status: Cancelled
Address :
16502 HAWTHORNE BOULEVARD
LAWNDALE CA 90260
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: DOOSTAN, AFSHIN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2664 Primary Status: Current - Active
Address :
14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: ZAKARIAEI, DEBORA
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 672 Primary Status: Current - Active
Address Not Disclosed
