| NPI | 1508089889 |
|---|---|
| Doing Business As | DENTAL GROUP OF CLOVIS |
| Entity Type | Organization |
| Authorized Contact | FARID PAKRAVAN Owner 559-325-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39862) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |