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Organization
K. H. AZAD DENTAL CORPORATION
Active
Organization
K. H. AZAD DENTAL CORPORATION
Active
Other names
Koushan H. Azad Professional Dental Corporation, CaliDental Seaside
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA AGUINAGA (BUSINESS COORDINATOR)
(805) 202-4988
Entity
Organization
Contact information
Practice address
1957 FREMONT BLVD, SEASIDE, CA 93955-3132
(805) 242-4044
Mailing address
1009 N H ST STE P, LOMPOC, CA 93436-8141
(805) 424-4044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/20/2025
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