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Koushan Azad Dmd. Inc
Dental Clinic/Center in Santa Maria, California
NPI 1285242388

Koushan Azad Dmd. Inc is a Dental Clinic/Center based in Lompoc, CA and is specialized in Dental. Koushan Azad Dmd. Inc practices in Santa Maria, CA. The NPI Number for Koushan Azad Dmd. Inc is 1285242388 and holds a License No. (California).

The current practice location address for Koushan Azad Dmd. Inc is 238 E Betteravia Rd Ste C, Santa Maria, CA and can be reached out via phone at 805-202-4988.

Location: 238 E Betteravia Rd Ste C, Santa Maria, CA, 93436-8141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285242388
Provider Name
Koushan Azad Dmd. Inc
Credential
Provider Entity Type
Organization
Address
238 E Betteravia Rd Ste C, Santa Maria, CA, 93436-8141
Phone Number
805-202-4988
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
238 E Betteravia Rd Ste C
City
Santa Maria
State
California
Zip
93454-7889
Phone Number
805-202-4988
Fax Number
person
Provider Business Mailing Address Details
Address
238 E Betteravia Rd Ste C
City
Santa Maria
State
California
Zip
93454-7889
Phone Number
805-202-4988
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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