Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koushan H. Azad Professional Dental Corporation

Organization General Practice Dentistry · NPI 1912736588

Koushan H. Azad Professional Dental Corporation is a General Practice Dentistry in Marina, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

272 Reservation Rd
Marina, CA 93933-3178
Phone: (805) 242-4044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1912736588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Azad — President · (805) 242-4044
Other names Calidental Marina
NPI enumeratedJuly 31, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address272 Reservation Rd, Marina, CA 93933-3178

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