| West Coast Dental Group Of Riverside | |
|
3380 La Sierra Ave Suite 108 Riverside CA 92503-5271 | |
| (951) 354-9999 | |
| (951) 354-6666 |
| Full Name | West Coast Dental Group Of Riverside |
|---|---|
| Speciality | Dentist |
| Location | 3380 La Sierra Ave, Riverside, California |
| Authorized Official Name and Position | Farid Pakravan (OWNER/ DDS) |
| 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 Riverside 3380 La Sierra Ave Suite 108 Riverside CA 92503-5271 Ph: (951) 354-9999 | West Coast Dental Group Of Riverside 3380 La Sierra Ave Suite 108 Riverside CA 92503-5271 Ph: (951) 354-9999 |
| NPI Number | 1528425980 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528425980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39862 (California) | Primary |
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