West Coast Dental | |
3571 N 1st St Ste 201 San Jose CA 95134-1803 | |
(310) 820-9933 | |
(310) 820-0408 |
Full Name | West Coast Dental |
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Speciality | Dentist |
Location | 3571 N 1st St Ste 201, San Jose, California |
Authorized Official Name and Position | Farhad Manavi (OWNER) |
Authorized Official Contact | 3108209933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Coast Dental 3571 N 1st St Ste 201 San Jose CA 95134-1803 Ph: (310) 820-9933 | West Coast Dental 3571 N 1st St Ste 201 San Jose CA 95134-1803 Ph: (310) 820-9933 |
NPI Number | 1952644882 |
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Provider Enumeration Date | 03/28/2013 |
Last Update Date | 03/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952644882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 38558 (California) | Primary |
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