| Cohen Sedgh, Manavi & Pakravan Dental Corp | |
|
11635 E South Street Artesia CA 90701-6630 | |
| (562) 924-4401 | |
| Not Available |
| Full Name | Cohen Sedgh, Manavi & Pakravan Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11635 E South Street, Artesia, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohen Sedgh, Manavi & Pakravan Dental Corp 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Cohen Sedgh, Manavi & Pakravan Dental Corp 11635 E South Street Artesia CA 90701-6630 Ph: (562) 924-4401 |
| NPI Number | 1104346246 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104346246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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