| NPI | 1356565758 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF EAST LOS ANGELES |
| Entity Type | Organization |
| Authorized Contact | FARHAD MANAVI Owner 323-415-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38558) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |