| Farhad Manavi Professional Dental Corporation | |
|
7910 Norwalk Blvd Whittier CA 90606-2196 | |
| (562) 699-0343 | |
| Not Available |
| Full Name | Farhad Manavi Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7910 Norwalk Blvd, Whittier, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACTS AND COMPLIANCE MANAGE) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farhad Manavi Professional Dental Corporation 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Farhad Manavi Professional Dental Corporation 7910 Norwalk Blvd Whittier CA 90606-2196 Ph: (562) 699-0343 |
| NPI Number | 1750054490 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750054490 | NPI | - | NPPES |
| 38558 | Other | CA | CA DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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