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Organization
FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION
Active
Organization
FARID PAKRAVAN PROFESSIONAL DENTAL CORPORATION
Active
Other names
FAMILY DENTAL PRACTICE OF LANCASTER
Organization subpart
No
Provider details
NPI number
Authorized official
FARID PAKRAVAN (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
1025 W AVENUE K STE 105, LANCASTER, CA 93534-6429
(661) 723-1111
(661) 726-0587
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
39862
CA
Other
Enumeration date
01/09/2008
Last updated
04/14/2021
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