Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF LA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID PAKRAVAN (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
2604 S VERMONT AVE, SUITE F, LOS ANGELES, CA 90007-2298
(323) 731-3333
(323) 731-7626
Mailing address
2604 S VERMONT AVE, SUITE F, LOS ANGELES, CA 90007-2298
(323) 731-3333
(323) 731-7626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39862
CA
Other
Enumeration date
11/28/2012
Last updated
06/27/2022
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