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KOUSHAN H. AZAD PROFESSIONAL DENTAL CORPORATION
NPI 1912736588
Dentist - General Practice in Marina, CA

Active since July 31, 2024
272 RESERVATION RD, MARINA, CA 93933(805) 242-4044 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Koushan H. Azad Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOUSHAN H. AZAD PROFESSIONAL DENTAL CORPORATION (NPI 1912736588), doing business as Calidental Marina, is a healthcare organization registered as a general practice in Marina, California and active in the NPI registry since July 2024. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1912736588
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOUSHAN H. AZAD PROFESSIONAL DENTAL CORPORATION
Location Address272 RESERVATION RDMarina, CA 93933-3178
Mailing Address272 Reservation RdMarina, CA 93933-3178
Phone(805) 242-4044
Organization SubpartNo
Authorized OfficialKoushan AzadPresident · (805) 242-4044
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1912736588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
272 RESERVATION RD, Marina, CA 93933
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Other Names 1

Doing Business AsCalidental Marina

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANA CHAWLA DDS
Dentist
272 RESERVATION RD
MARINA, CA 93933
Monterey County (831) 200-0747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koushan H. Azad Professional Dental Corporation's NPI number?

The NPI number for Koushan H. Azad Professional Dental Corporation is 1912736588. It was assigned to this organization in the NPPES registry on July 31, 2024. The provider is doing business as CaliDental Marina.

Where is Koushan H. Azad Professional Dental Corporation located?

Koushan H. Azad Professional Dental Corporation is located at 272 Reservation Rd, Marina, CA 93933. The listed phone number is (805) 242-4044.

What is Koushan H. Azad Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Koushan H. Azad Professional Dental Corporation was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.