| NPI | 1689919995 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF GAGE |
| Entity Type | Organization |
| Authorized Contact | FARID PAKRAVAN Owner 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39862) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |