Organization
COHEN, MANAVI & PAKRAVAN INC
Active
Other names
PEAK DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID PAKRAVAN (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
15815 MERIDIAN E, PUYALLUP, WA 98375-6507
(310) 820-9933
(310) 820-0408
Mailing address
15815 MERIDIAN E, PUYALLUP, WA 98375-6507
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39862
CA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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