| Radmanesh Dental Professional Corporation | |
|
148 N Grand Ave West Covina CA 91791-1728 | |
| (626) 858-3305 | |
| Not Available |
| Full Name | Radmanesh Dental Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 148 N Grand Ave, West Covina, California |
| Authorized Official Name and Position | Parham Radmanesh (OWNER) |
| Authorized Official Contact | 6268583305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radmanesh Dental Professional Corporation 148 N Grand Ave West Covina CA 91791-1728 Ph: (626) 858-3305 | Radmanesh Dental Professional Corporation 148 N Grand Ave West Covina CA 91791-1728 Ph: (626) 858-3305 |
| NPI Number | 1902672777 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902672777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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