| West Coast Dental Group Of Los Angeles | |
|
2604 S Vermont Ave Suite F Los Angeles CA 90007-2298 | |
| (323) 731-3333 | |
| (323) 731-7626 |
| Full Name | West Coast Dental Group Of Los Angeles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2604 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Farid Pakravan (OWNER) |
| Authorized Official Contact | 3237313333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Dental Group Of Los Angeles 2604 S Vermont Ave Suite F Los Angeles CA 90007-2298 Ph: (323) 731-3333 | West Coast Dental Group Of Los Angeles 2604 S Vermont Ave Suite F Los Angeles CA 90007-2298 Ph: (323) 731-3333 |
| NPI Number | 1346464898 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346464898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39862 (California) | Primary |
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