West Coast Dental Group Of Orange | |
179 N Tustin St Orange CA 92867-7716 | |
(714) 288-1035 | |
(714) 288-2784 |
Full Name | West Coast Dental Group Of Orange |
---|---|
Speciality | Dentist - General Practice |
Location | 179 N Tustin St, Orange, California |
Authorized Official Name and Position | Farid Pakravan (OWNER) |
Authorized Official Contact | 7142881035 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Coast Dental Group Of Orange 179 N Tustin St Orange CA 92867-7716 Ph: (714) 288-1035 | West Coast Dental Group Of Orange 179 N Tustin St Orange CA 92867-7716 Ph: (714) 288-1035 |
NPI Number | 1073737524 |
---|---|
Provider Enumeration Date | 04/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073737524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39862 (California) | Primary |
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› Verified 8 days ago
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