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PAKRAVAN MANAVI & COHEN DENTAL CORPORATION NPI 1942780853


NPI Information

NPI: 1942780853
Provider Name: PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION

Doing Business As: MAGICLAND DENTAL GROUP OF RIALTO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1205 W RENAISSANCE PKWY
SUITE 240
RIALTO, CA
ZIP 92376
Phone: (310) 820-9933
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PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION is a general practice dentist in Rialto, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PAKRAVAN, MANAVI & COHEN DENTAL CORPORATION NPI is 1942780853. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Magicland Dental Group Of Rialto.

The provider's business location address is:

1205 W RENAISSANCE PKWY
SUITE 240
RIALTO, CA
ZIP 92376
Phone: (310) 820-9933
Fax: (310) 820-0408

The provider's authorized official is Miguel Reyes .
The authorized official title is Q/a Contract & Compliance Manager and has the following contact phone number (310) 820-9933.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 7/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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