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Organization
K H AZAD PROFESSIONAL DENTAL CORPORATION
Active
Organization
K H AZAD PROFESSIONAL DENTAL CORPORATION
Active
Other names
CALIDENTAL LANCASTER
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA AGUINAGA (BUSINESS COORDINATOR)
(805) 242-4044
Entity
Organization
Contact information
Practice address
44770 VALLEY CENTRAL WAY, LANCASTER, CA 93536-6527
(805) 242-4044
Mailing address
1009 N H ST STE P, LOMPOC, CA 93436-8141
(805) 242-4044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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