Organization
DAVID FARIVAR DMD APC
Active
Other names
Plaza Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FARIVAR DMD APC (MANAGING MEMBER)
(310) 849-7704
Entity
Organization
Contact information
Practice address
14240 S VERMONT AVE, GARDENA, CA 90247-2208
(310) 515-5511
Mailing address
1171 S ROBERTSON BLVD # 304, LOS ANGELES, CA 90035-1403
(310) 849-7704
(800) 982-4675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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