Cohen Sedgh, Manavi & Pakravan Dental Corp

NPI #1972026920 in Hemet, California

Provider Information

NPI Number: 1972026920
Entity Type: Organization
Organization Name: Cohen Sedgh, Manavi & Pakravan Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2017
Last Updated: Jul 21, 2017

Practice Location

Address: 3027 W FLORIDA AVE # P-1
City: Hemet
State: California
ZIP Code: 92545-3617
Phone: (310) 409-4225

Authorized Official

Name: MIGUEL REYES
Title: Q/A CONTRACT & COMPLIANCE MANAGER
Phone: (310) 820-9933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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