Organization · Type 2 NPI

Koushan Azad Dental Corpopration

Dental Clinic/Center · San Luis Obispo, CA

NPI number 1477030351 Active

Practice location

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

Call (630) 624-5788 Map

Mailing address

5903 Annie Oakley Rd
Hidden Hills, CA 91302-1230

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1477030351

Koushan Azad Dental Corpopration's National Provider Identifier is 1477030351, issued on Jul 24, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Apr 30, 2026.