| West Coast Dental Group | |
|
12121 Wilshire Blvd Suite 1111 Los Angeles CA 90025-1123 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | West Coast Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12121 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Farhad Manavi (OWNER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Dental Group 3571 N 1st Street Building Sjc-q Suite 2032 San Jose CA 95134 Ph: (310) 820-9933 | West Coast Dental Group 12121 Wilshire Blvd Suite 1111 Los Angeles CA 90025-1123 Ph: (310) 820-9933 |
| NPI Number | 1649611591 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649611591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38558 (California) | Primary |
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