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Organization
KOUSHAN H. AZAD PROFESSIONAL DENTAL CORPORATION
Active
Organization
KOUSHAN H. AZAD PROFESSIONAL DENTAL CORPORATION
Active
Other names
CaliDental Marina
Organization subpart
No
Provider details
NPI number
Authorized official
KOUSHAN AZAD (PRESIDENT)
(805) 242-4044
Entity
Organization
Contact information
Practice address
272 RESERVATION RD, MARINA, CA 93933-3178
(805) 242-4044
Mailing address
272 RESERVATION RD, MARINA, CA 93933-3178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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