Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Farwest Dental Group, PC

Organization Dental Clinic/Center · NPI 1023598836

Farwest Dental Group, PC is a Dental Clinic/Center in Wilmington, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1704 N Avalon Blvd
Wilmington, CA 90744-1433
Phone: (310) 835-5030
Fax: (310) 835-6090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1315 N Bullis Rd, Compton, CA 90221-1650 — (424) 338-3060
  • 8880 S Broadway, Los Angeles, CA 90003-3635 — (323) 758-6768

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 52604 (CA)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 50718 (CA)

Record details

NPI number1023598836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hassan Fayoumi — Ceo · (310) 699-1549
NPI enumeratedAugust 21, 2018
Last updated in NPPESAugust 21, 2018
Mailing address1704 N Avalon Blvd, Wilmington, CA 90744-1433

Other providers in Wilmington