Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION
Active
Other names
WEST COAST DENTAL GROUP OF LONG BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD MANAVI DDS (OWNER)
(310) 820-9933
Entity
Organization
Contact information
Practice address
1835 XIMENO AVE, LONG BEACH, CA 90815-2850
(310) 820-9933
(310) 820-0408
Mailing address
1835 XIMENO AVE, LONG BEACH, CA 90815-2850
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38558
CA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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