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Licensing details for: 8211

Name: HEALTHY SMILES PREMIER DENTAL PRACTICE, AFSHIN DOOSTAN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: HEALTHY SMILES PREMIER DENTAL

Address of Record

16502 HAWTHORNE BOULEVARD
LAWNDALE CA 90260
LOS ANGELES county
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Practice Location

16502 HAWTHORNE BOULEVARD
LAWNDALE CA 90260
LOS ANGELES county
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Issuance Date

July 1, 2009

Expiration Date

September 30, 2020

Current Date / Time

April 3, 2026
9:28:32 PM

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

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