Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD MANAVI DDS (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
12121 WILSHIRE BLVD, SUITE 1111, LOS ANGELES, CA 90025-1123
(310) 820-9933
(310) 820-0408
Mailing address
3571 N 1ST STREET, BUILDING SJC-Q SUITE 2032, SAN JOSE, CA 95134
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38558
CA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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