| West Coast Dental Group Of Van Nuys | |
|
13716 Sherman Way Van Nuys CA 91405-2626 | |
| (818) 988-2020 | |
| (818) 988-2004 |
| Full Name | West Coast Dental Group Of Van Nuys |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13716 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Farhad Manavi (OWNER) |
| Authorized Official Contact | 8189882020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Dental Group Of Van Nuys 13716 Sherman Way Van Nuys CA 91405-2626 Ph: (818) 988-2020 | West Coast Dental Group Of Van Nuys 13716 Sherman Way Van Nuys CA 91405-2626 Ph: (818) 988-2020 |
| NPI Number | 1710101365 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710101365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38558 (California) | Primary |
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