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Organization

COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION

Active
Other names
CANYON DENTAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
FARHAD MANAVI (OWNER)
(310) 820-9933
Entity
Organization

Contact information

Practice address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020
Mailing address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38558
CA

Other

Enumeration date
03/09/2011
Last updated
06/27/2022
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