NPI | 1710101365 |
---|---|
Doing Business As | WEST COAST DENTAL GROUP OF VAN NUYS |
Entity Type | Organization |
Authorized Contact | FARHAD MANAVI Owner 818-988-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38558) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |