| NPI | 1164646618 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF LYNWOOD |
| Entity Type | Organization |
| Authorized Contact | FARID PAKRAVAN Owner 323-563-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39862) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-06-24 |