| Farhad Manavi, D.d.s., Inc. | |
|
4149 Tweedy Blvd Ste G South Gate CA 90280-6167 | |
| (323) 567-3333 | |
| (323) 567-2929 |
| Full Name | Farhad Manavi, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4149 Tweedy Blvd Ste G, South Gate, California |
| Authorized Official Name and Position | Farhad Manavi (OWNER) |
| Authorized Official Contact | 3235673333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farhad Manavi, D.d.s., Inc. 4149 Tweedy Blvd Ste G South Gate CA 90280-6167 Ph: (323) 567-3333 | Farhad Manavi, D.d.s., Inc. 4149 Tweedy Blvd Ste G South Gate CA 90280-6167 Ph: (323) 567-3333 |
| NPI Number | 1962625418 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962625418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38558 (California) | Primary |
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