KOUSHAN AZAD DENTAL CORPOPRATION

SAN LUIS OBISPO, CA
NPI1477030351
Entity TypeOrganization
Authorized ContactOLIVIA AGUINAGA
Business Coordinator
630-808-7290
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-07-24
Last Update Date2018-07-24
Business Address
KOUSHAN AZAD DENTAL CORPOPRATION
3870 BROAD ST STE 1
SAN LUIS OBISPO, CA 93401-7172
Phone number: 630-624-5788
Mailing Address
KOUSHAN AZAD DENTAL CORPOPRATION
5903 ANNIE OAKLEY RD
HIDDEN HILLS, CA 91302-1230
Phone number:
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