| Koushan H. Azad Dental Corporation | |
|
1171 Creston Rd Ste 107 Paso Robles CA 93446-3031 | |
| (805) 242-4044 | |
| Not Available |
| Full Name | Koushan H. Azad Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1171 Creston Rd Ste 107, Paso Robles, California |
| Authorized Official Name and Position | Olivia Aguinaga (BUSINESS COORDINATOR) |
| Authorized Official Contact | 8052424044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koushan H. Azad Dental Corporation 1009 N H St Ste P Lompoc CA 93436-8141 Ph: (805) 242-4044 | Koushan H. Azad Dental Corporation 1171 Creston Rd Ste 107 Paso Robles CA 93446-3031 Ph: (805) 242-4044 |
| NPI Number | 1235821380 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235821380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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