Dental Board of California
Licensing details for: 17065
Name: HEALTHY SMILES PREMIER DENTAL PRACTICE, AFSHIN DOOSTAN. INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: Healthy Smiles Premier Dental practice,Afshin Doostan,DDS,INC.
License Relationships
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
