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Organization
F.PAKRAVAN DENTAL CORPORATION
Active
Organization
F.PAKRAVAN DENTAL CORPORATION
Active
Other names
DENTAL GROUP OF CLOVIS
Organization subpart
No
Provider details
NPI number
Authorized official
FARID PAKRAVAN (OWNER)
(559) 325-6161
Entity
Organization
Contact information
Practice address
200 W SHAW AVE, SUITE 110, CLOVIS, CA 93612-3684
(559) 325-6161
(559) 325-6166
Mailing address
200 W SHAW AVE, SUITE 110, CLOVIS, CA 93612-3684
(559) 325-6161
(559) 325-6166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39862
CA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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