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RADMANESH DENTAL PROFESSIONAL CORPORATION NPI 1902672777


NPI Information

NPI: 1902672777
Provider Name: RADMANESH DENTAL PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
148 N GRAND AVE
WEST COVINA, CA
ZIP 91791
Phone: (626) 858-3305
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RADMANESH DENTAL PROFESSIONAL CORPORATION is a dental clinic center in West Covina, CA. RADMANESH DENTAL PROFESSIONAL CORPORATION NPI is 1902672777. The provider is registered as an organization entity type.

The provider's business location address is:

148 N GRAND AVE
WEST COVINA, CA
ZIP 91791-728
Phone: (626) 858-3305

The provider's authorized official is Parham Radmanesh .
The authorized official title is Owner and has the following contact phone number (626) 858-3305.

The enumeration date for this NPI number is 12/1/2023 and was last updated on 12/1/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 5/5/2024

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