Organization · Type 2 NPI

Cohen Sedgh, Manavi & Pakravan Dental Corp

Dental Clinic/Center · Artesia, CA

NPI number 1104346246 Active

Practice location

11635 E South Street
Artesia, CA 90701-6630

Call (562) 924-4401 Map

Mailing address

12121 Wilshire Blvd Ste 1111
Los Angeles, CA 90025-1188

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1104346246
Entity type: Organization (Type 2)
Issued: Jun 20, 2017
Last updated: Jun 27, 2022
Status: Active
Subpart: Yes of Cohen Sedgh, Manavi & Pakravan Dental Corp

Other names

<unavail>
Children's Dental Building · doing business as

Authorized official

Miguel Reyes
Q/a Contract & Compliance Manager
(310) 820-9933

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About NPI 1104346246

Cohen Sedgh, Manavi & Pakravan Dental Corp's National Provider Identifier is 1104346246, issued on Jun 20, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Artesia, CA. The record was last updated on Jun 27, 2022.