| NPI | 1962625418 |
|---|---|
| Doing Business As | WEST COAST DENTAL GROUP OF SOUTH GATE |
| Entity Type | Organization |
| Authorized Contact | FARHAD MANAVI Owner 323-567-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38558) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-06-27 |