West Coast Dental Group Of Lynwood | |
9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 | |
(323) 563-8900 | |
(323) 563-3434 |
Full Name | West Coast Dental Group Of Lynwood |
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Speciality | Dentist - General Practice |
Location | 9910 Long Beach Blvd, Lynwood, California |
Authorized Official Name and Position | Farid Pakravan (OWNER) |
Authorized Official Contact | 3235638900 |
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 Lynwood 9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 Ph: (323) 563-8900 | West Coast Dental Group Of Lynwood 9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 Ph: (323) 563-8900 |
NPI Number | 1164646618 |
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Provider Enumeration Date | 04/13/2007 |
Last Update Date | 06/24/2008 |
Identifier | Type | State | Issuer |
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1164646618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39862 (California) | Primary |
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