Koushan Azad Dental Corpopration
Koushan Azad Dental Corpopration is a Dental Clinic/Center in San Luis Obispo, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
3870 Broad St Ste 1San Luis Obispo, CA 93401-7172
Phone: (630) 624-5788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1477030351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Koushan Azad — Owner · (805) 202-4988 |
| NPI enumerated | July 24, 2018 |
| Last updated in NPPES | April 30, 2026 |
| Certification date | April 30, 2026 |
| Mailing address | 5903 Annie Oakley Rd, Hidden Hills, CA 91302-1230 |
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