| Koushan Azad Dmd Inc | |
|
238 E Betteravia Rd Ste C Santa Maria CA 93454-7889 | |
| (805) 242-4881 | |
| Not Available |
| Full Name | Koushan Azad Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 238 E Betteravia Rd Ste C, Santa Maria, California |
| Authorized Official Name and Position | Koushan Azad (PRESIDENT) |
| Authorized Official Contact | 8056983017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koushan Azad Dmd Inc 1009 N H St Ste P Lompoc CA 93436-8141 Ph: (805) 698-3017 | Koushan Azad Dmd Inc 238 E Betteravia Rd Ste C Santa Maria CA 93454-7889 Ph: (805) 242-4881 |
| NPI Number | 1437762523 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437762523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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