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Organization
SOL COHEN-SEDGH DENTAL CORPORATION
Active
Organization
SOL COHEN-SEDGH DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL & ORTHODONTICS, ADULT & KIDS DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES (Q/A CONTRACT & COMPLIANCE MANAGER)
(310) 409-4225
Entity
Organization
Contact information
Practice address
1044 CHERRY VALLEY BLVD STE 400, CALIMESA, CA 92320-2247
(310) 820-9933
(310) 820-0408
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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