Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Koushan H. Azad Professional Dental Corporation

Organization General Practice Dentistry · NPI 1912736588

Koushan H. Azad Professional Dental Corporation provides 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

Other providers in Marina