Koushan H. Azad Professional Dental Corporation
NPI #1912736588 in Marina, California
Provider Information
- NPI Number
- 1912736588
- Entity Type
- Organization
- Organization Name
- Koushan H. Azad Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 31, 2024
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 272 RESERVATION RD
- City
- Marina
- State
- California
- ZIP Code
- 93933-3178
- Phone
- (805) 242-4044
Authorized Official
- Name
- KOUSHAN AZAD
- Title
- PRESIDENT
- Phone
- (805) 242-4044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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