NPI | 1356686679 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF BALDWIN PARK |
Entity Type | Organization |
Authorized Contact | FARHAD MANAVI Owner 310-820-9933 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 38558) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2022-06-27 |