Koushan Haidarzadeh Azad
ActiveCalifornia license 62559
License
- Licensed by
- Dental Board of California
- License number
- 62559
- Status
- Active (Current)
- First issued
- July 11, 2013
- Expires
- June 30, 2028
- License holder
- Koushan Haidarzadeh Azad
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3870 Broad St Suite 1
San Luis Obispo, CA 93401
San Luis Obispo, CA 93401
San Luis Obispo County