Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF GAGE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID PAKRAVAN (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
1423 E GAGE AVE, SUITE A, LOS ANGELES, CA 90001-1771
(323) 983-4000
(323) 983-4007
Mailing address
1423 E GAGE AVE, SUITE A, LOS ANGELES, CA 90001-1771
(323) 983-4000
(323) 983-4007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39862
CA
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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