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Organization
PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION
Active
Organization
PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF MORENO VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES (Q/A CONTRACT & COMPLIANCE MANAGER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
2862 UNIT B CANYON SPRINGS PARKWAY, RIVERSIDE, CA 92507
(951) 214-4995
(310) 820-0408
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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