Organization
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Active
Other names
WEST COAST DENTAL ADULT AND CHILDRENS DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES (AUTHORIZED OFFICIAL)
(310) 409-4225
Entity
Organization
Contact information
Practice address
35952 WINCHESTER RD BLDG 2, WINCHESTER, CA 92596-7537
(310) 820-9933
Mailing address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(310) 820-9933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
03/06/2023
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