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Organization
FARHAD MANAVI PROFESSIONAL DENTAL CORPORATION
Active
Organization
FARHAD MANAVI PROFESSIONAL DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF WHITTIER
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES (Q/A CONTRACTS AND COMPLIANCE MANAGE)
(310) 409-4225
Entity
Organization
Contact information
Practice address
7910 NORWALK BLVD, WHITTIER, CA 90606-2196
(562) 699-0343
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
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38558
CA DENTAL BOARD
CA
Enumeration date
07/28/2021
Last updated
08/31/2026
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