Pakravan Dental Corporation
NPI #1942713417 in Norco, California
Provider Information
- NPI Number
- 1942713417
- Entity Type
- Organization
- Organization Name
- Pakravan Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 7, 2017
- Last Updated
- Nov 7, 2017
Practice Location
- Address
- 2440 RIVER ROAD
- Address 2
- SUITE 140
- City
- Norco
- State
- California
- ZIP Code
- 92860
- Phone
- (310) 820-9933
Authorized Official
- Name
- MIGUEL REYES
- Title
- Q/A CONTRACT COMPLIANCE MANAGER
- Phone
- (310) 409-4225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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