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Licensing details for: 79264

Name: AFSHIN DOOSTAN, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES county
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Practice Location

14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES county
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Issuance Date

March 28, 2017

Expiration Date

September 30, 2022

Current Date / Time

April 3, 2026
9:28:38 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: DOOSTAN, AFSHIN

License/Registration Type: Dentist License

License Number: 46051 Primary Status: Current - Active

Address :
14017 Van Ness Ave
GARDENA CA 90249-2915
LOS ANGELES COUNTY

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