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Organization
PAKRAVAN, MANAVI ADN COHEN DENTAL- SAN JOE PC
Active
Organization
PAKRAVAN, MANAVI ADN COHEN DENTAL- SAN JOE PC
Active
Other names
LIFE CONNECTION HEALTH CENTER
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
3571 N 1ST ST STE 203, SAN JOSE, CA 95134-1803
(408) 424-2200
(408) 770-1874
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 409-4225
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
06/27/2022
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