West Coast Dental Group Of 6th | |
1725 W 6th St Los Angeles CA 90017-1000 | |
(213) 413-5151 | |
(213) 413-7171 |
Full Name | West Coast Dental Group Of 6th |
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Speciality | Dentist |
Location | 1725 W 6th St, Los Angeles, California |
Authorized Official Name and Position | Farid Pakravan (OWNER) |
Authorized Official Contact | 3108209933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Coast Dental Group Of 6th 1725 W 6th St Los Angeles CA 90017-1000 Ph: (213) 413-5151 | West Coast Dental Group Of 6th 1725 W 6th St Los Angeles CA 90017-1000 Ph: (213) 413-5151 |
NPI Number | 1528363207 |
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Provider Enumeration Date | 01/11/2011 |
Last Update Date | 08/21/2012 |
Identifier | Type | State | Issuer |
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1528363207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 39862 (California) | Primary |
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