| Farid Pakravan Professional Dental Corporation | |
|
10639 Carmenita Rd Unit 7 Santa Fe Springs CA 90670-4017 | |
| (310) 820-9933 | |
| Not Available |
| Full Name | Farid Pakravan Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10639 Carmenita Rd Unit 7, Santa Fe Springs, California |
| Authorized Official Name and Position | Miguel Reyes (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farid Pakravan Professional Dental Corporation 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Farid Pakravan Professional Dental Corporation 10639 Carmenita Rd Unit 7 Santa Fe Springs CA 90670-4017 Ph: (310) 820-9933 |
| NPI Number | 1811614399 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811614399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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