Pakravan, Manavi & Cohen Dental Corporation
Pakravan, Manavi & Cohen Dental Corporation is a General Practice Dentistry in Rialto, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1205 W Renaissance Pkwy Ste 240Rialto, CA 92376
Phone: (310) 820-9933
Fax: (310) 820-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X (CA) |
|---|
Record details
| NPI number | 1942780853 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Miguel Reyes — Q/A Contract & Compliance Manager · (310) 820-9933 |
| Other names | Magicland Dental Group Of Rialto |
| NPI enumerated | August 20, 2018 |
| Last updated in NPPES | July 30, 2020 |
| Certification date | July 30, 2020 |
| Mailing address | 12121 Wilshire Blvd Ste 1111, Los Angeles, CA 90025-1188 |
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