Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF BALDWIN PARK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD MANAVI (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
4000 LA RICA AVE, SUITE D, BALDWIN PARK, CA 91706-3163
(626) 430-9171
(626) 430-9177
Mailing address
4000 LA RICA AVE, SUITE D, BALDWIN PARK, CA 91706-3163
(626) 430-9171
(626) 430-9177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38558
CA
Other
Enumeration date
11/28/2012
Last updated
06/27/2022
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