| NPI | 1861789513 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF LONG BEACH |
| Entity Type | Organization |
| Authorized Contact | FARHAD MANAVI Owner 310-820-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38558) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |