Provider Demographics
NPI:1043435415
Name:SOLEYMAN COEHN-SEDGH,D.D.S., INC.
Entity Type:Organization
Organization Name:SOLEYMAN COEHN-SEDGH,D.D.S., INC.
Other - Org Name:WEST COAST DENTAL GROUP OF NORTH HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLEYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-672-8228
Mailing Address - Street 1:15350 NORDOFF ST
Mailing Address - Street 2:SUITE A AND B
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343
Mailing Address - Country:US
Mailing Address - Phone:818-672-8228
Mailing Address - Fax:818-672-8256
Practice Address - Street 1:15350 NORDOFF ST
Practice Address - Street 2:SUITE A AND B
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343
Practice Address - Country:US
Practice Address - Phone:818-672-8228
Practice Address - Fax:818-672-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA389791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty