Individual provider · Type 1 NPI

Radhouan Gazouani

General Practice Dentistry · San Luis Obispo, CA

NPI number 1083535157 Active

Practice location

3870 Broad St Ste 1
San Luis Obispo, CA 93401-7172

Call (805) 202-4988 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X113704 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1083535157

Radhouan Gazouani's National Provider Identifier is 1083535157, issued on Jul 23, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 13, 2026.