Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maryam Dastouri, DDS

Individual provider Dentist · NPI 1962123182

Dr. Maryam Dastouri, DDS is a Dentist in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1215 E Chapman Ave
Orange, CA 92866-2237
Phone: (714) 633-4600
Fax: (714) 633-1412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 107977 (CA)

Record details

NPI number1962123182
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address1215 E Chapman Ave, Orange, CA 92866-2237

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