License Directory

Koushan Haidarzadeh Azad

Active

California 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

More from the license record

License type code
4401

Contact

3870 Broad St Suite 1
San Luis Obispo, CA 93401
San Luis Obispo County