| 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 |