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Maryam Dastouri, DDS

NPI 1962123182 · on the registry since 2022 · sole proprietor

Practice

Address
1215 E Chapman Ave
Orange, CA 92866
Phone
(714) 633-4600
Fax
(714) 633-1412
Organisation at this address
Voxel Imaging Inc
Obria Medical Clinic
Lestonnac Free Clinic
Obria Medical Clinics
St Jeanne De Lestonnac Free Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California