| West Coast Dental Group Of Gage | |
|
1423 E Gage Ave Suite A Los Angeles CA 90001-1771 | |
| (323) 983-4000 | |
| (323) 983-4007 |
| Full Name | West Coast Dental Group Of Gage |
|---|---|
| Speciality | Dentist |
| Location | 1423 E Gage Ave, 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 |
|---|---|
| West Coast Dental Group Of Gage 1423 E Gage Ave Suite A Los Angeles CA 90001-1771 Ph: (323) 983-4000 | West Coast Dental Group Of Gage 1423 E Gage Ave Suite A Los Angeles CA 90001-1771 Ph: (323) 983-4000 |
| NPI Number | 1689919995 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689919995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39862 (California) | Primary |
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