Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Active
Parent organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Other names
Children's Dental Building
Organization subpart
Yes
Provider details
NPI number
Legal business name
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Authorized official
MIGUEL REYES (Q/A CONTRACT & COMPLIANCE MANAGER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
11635 E SOUTH STREET, ARTESIA, CA 90701-6630
(562) 924-4401
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/27/2022
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