Cohen Sedgh, Manavi & Pakravan Dental Corporation

NPI #1902402456 in Rialto, California

Provider Information

NPI Number: 1902402456
Entity Type: Organization
Organization Name: Cohen Sedgh, Manavi & Pakravan Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 1315 RENAISSANCE PKWY STE 870
City: Rialto
State: California
ZIP Code: 92376-2406
Phone: (310) 820-9933

Authorized Official

Name: MIGUEL REYES
Title: Q/A CONTRACT & COMPLIANCE MANAGER
Phone: (310) 409-4225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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