| NPI | 1912736588 |
|---|---|
| Doing Business As | CALIDENTAL MARINA |
| Entity Type | Organization |
| Authorized Contact | KOUSHAN AZAD President 805-242-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |