Koushan Azad Dental Corporation
ActiveCalifornia license 79952
License
- Licensed by
- Dental Board of California
- License number
- 79952
- Status
- Active (Current)
- First issued
- December 31, 2018
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Azad Koushan (62559)
Contact
1009 North H Street, Ste 30
Lompoc, CA 93436
Lompoc, CA 93436
Santa Barbara County