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Database Manager SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND COASTAL DENTAL PLAN PREFERRED PROVIDERS - GENERAL DENTAL ACTIVE PROVIDERS a Division of Western Dental Plan Management, Incorporated Provider Listing Print Date - 1/30/2007 AGOURA HILLS ANAHEIM ANAHEIM Darren Kessler, D.D.S. Arash Aghakhani, D.D.S. Ramin Sadighi, D.D.S. 28632 Roadside Drive, Suite #270-B 2207 South Harbor Boulevard 330 North State College Boulevard Agoura Hills, CA 91301 Anaheim, CA 92802 Anaheim, CA 92806 (818) 706-6077 (714) 971-7800 (714) 772-5005 AGOURA HILLS ANAHEIM ANAHEIM Elyse Resnick, D.D.S. Michael Ayzin, D.D.S. Grishma Shah, D.D.S. 28632 Roadside Drive, Suite #270-B 1160 North East Street 2500 East Ball Road, Suite #150 Agoura Hills, CA 91301 Anaheim, CA 92805 Anaheim, CA 92806 (818) 706-6077 (714) 535-7373 (714) 533-9670 AGOURA HILLS ANAHEIM ANAHEIM Ilya (Boris) Zak, D.D.S. Michael Badea, D.D.S. Da Sun, D.D.S. 29525 Canwood Street, Suite #250 330 State College Boulevard, Suite #105 930 S. Knott Avenue, Suite H Agoura Hills, CA 91301 Anaheim, CA 92802 Anaheim, CA 92804 (818) 991-9852 (714) 772-5005 (714) 827-2180 ALHAMBRA ANAHEIM ANAHEIM S. Nadir-Mohammadi, D.D.S. Paul Dawood, D.D.S. Noreen Tran, D.D.S. 747 South Garfield Avenue 10722 Katella Avenue, Suite #2 1825 West Lincoln Avenue Alhambra, CA 91801 Anaheim, CA 92804 Anaheim, CA 92801 (626) 289-6815 (714) 956-0857 (714) 999-2700 ALHAMBRA ANAHEIM ANAHEIM Sohrab Yazdani, D.D.S. Scott Jacks, D.D.S. Anthony Wong, D.D.S. 747 South Garfield 2156 East Lincoln 3356 West Ball Road, Suite #215 Alhambra, CA 91801 Anaheim, CA 92805 Anaheim, CA 92804 (626) 289-6815 (714) 399-3140 (714) 995-3051 ALISO VIEJO ANAHEIM APPLE VALLEY Reza Birjandi, D.D.S. Candice Hui Yun Lee, D.D.S. Mehryar Ebrahimi, D.D.S. 27066 South La Paz Road 101 East Lincoln Avenue, Suite #105 19195 Outer Hwy 18, Suite #201 Aliso Viejo, CA 92656 Anaheim, CA 92805 Apple Valley, CA 92307 (949) 360-9700 (714) 774-7761 (760) 242-0796 ALTA LOMA ANAHEIM ARCADIA Brien Hsu, D.D.S. Brooks Morgan, D.D.S. David Kelly, D.D.S. 11438 Kenyon Way, Suite #3-C 922 S. Euclid Street 111 East Live Oak Avenue Alta Loma, CA 91737 Anaheim, CA 92802 Arcadia, CA 91006 (909) 941-2811 (714) 776-7015 (626) 445-1181 ALTA LOMA ANAHEIM ARCADIA Tuan Nguyen, D.D.S. Brooks Morgan, D.D.S. Da Sun, D.D.S. 10431 Lemon Avenue, Suite K 2300 S. Harbor Boulevard 10 E. Huntington Drive, Suite D Alta Loma, CA 91737 Anaheim, CA 92802 Arcadia, CA 91006 (909) 476-8303 (714) 750-3030 (626) 821-0169 This General Dental Provider List is for the sole use of the intended recipient(s), and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. IMPORTANT: It is the responsibility of the participant to validate that the Provider listed above is a Coastal Dental Provider for your particular ERISA Trust prior to any treatment plan(s). For the most current and up to date Provider listing please visit us at www.coastaldental.com. Page 1 of 15 SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND COASTAL DENTAL PLAN PREFERRED PROVIDERS - GENERAL DENTAL ACTIVE PROVIDERS a Division of Western Dental Plan Management, Incorporated Provider Listing Print Date - 1/30/2007 ARTESIA BARSTOW BURBANK Donald Brown, D.D.S. Tariq Alsamaan, D.D.S. Sami Hersel, D.D.S. 11635 East South Street 945 Armory Road, Suite C 140 N. Victory Boulevard, Suite #101 Artesia, CA 90701 Barstow, CA 92311 Burbank, CA 91502 (562) 924-4401 (760) 252-7070 (818) 841-1634 ARTESIA BEAUMONT BURBANK Michelle Chu, D.D.S. Ahmed Naji, D.D.S. Elliot Schlang, D.D.S. 11821 Artesia Boulevard 1080 Beaumont Avenue 140 North Victory Boulevard, Suite #101 Artesia, CA 90701 Beaumont, CA 92223 Burbank, CA 91502 (562) 809-7030 (951) 845-9775 (818) 841-1634 AZUSA BELL CAMARILLO Angela Hoffman, D.D.S. Rajiv P. Sitwala, D.D.S. Arthur Kaiser, D.D.S. 483 South Citrus Avenue 4301 East Florence Avenue 816 Camarillo Springs Road, Suite L Azusa, CA 91702 Bell, CA 90201 Camarillo, CA 93012 (626) 966-3400 (323) 582-8463 (805) 388-3008 BAKERSFIELD BELLFLOWER CANOGA PARK Arthur Kaiser, D.D.S. Michael Badea, D.D.S. Elliot Schlang, D.D.S. 4000 Stockdale Hwy, Suite H 9222 East Rosecrans Avenue 6543 Topanga Canyon Bakersfield, CA 93309 Bellflower, CA 90706 Canoga Park, CA 91303 (661) 327-7668 (562) 272-0222 (818) 883-7979 BAKERSFIELD BELLFLOWER CANOGA PARK Arthur Kaiser, D.D.S. Hooman Hakimi, D.D.S. Salah E. Zeidan, D.D.S. 2427 "H" Street, Suite A 16537 Bellflower Boulevard, Suite B 20913 Sherman Way Bakersfield, CA 93301 Bellflower, CA 90706 Canoga Park, CA 91303 (661) 861-0577 (562) 866-7073 (818) 992-4600 BALDWIN PARK BELLFLOWER CANYON COUNTRY Corazon Bustos, D.D.S. Ramin Sadighi, D.D.S. Neal Green, D.D.S. 4322 North Maine Avenue 9222 Rosecrans Avenue 27141 Hidaway Avenue, Suite #201 Baldwin Park, CA 91706 Bellflower, CA 90706 Canyon Country, CA 91351 (626) 962-3353 (562) 272-0222 (661) 251-1320 BALDWIN PARK BLOOMINGTON CARLSBAD Raul Rodriguez, D.D.S. Raul Rodriguez, D.D.S. John DiMaccio, D.D.S. 14323 Ramona Boulevard 9986 Bloomington Avenue 6965 El Camino Real, Suite #204 Baldwin Park, CA 91706 Bloomington, CA 92316 Carlsbad, CA 92009 (626) 962-8160 (909) 877-8899 (760) 431-9771 BALDWIN PARK BREA CARSON Ernesto Tena, D.D.S. Johnny Steve Han, D.D.S. Hyacinth Ezeani, D.D.S. 14323 East Ramona Boulevard 2445 East Imperial Hwy, Suite B 20763 Avalon Boulevard Baldwin Park, CA 91706 Brea, CA 92821 Carson, CA 90746 (626) 962-8160 (714) 529-8497 (310) 719-1865 This General Dental Provider List is for the sole use of the intended recipient(s), and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. IMPORTANT: It is the responsibility of the participant to validate that the Provider listed above is a Coastal Dental Provider for your particular ERISA Trust prior to any treatment plan(s). For the most current and up to date Provider listing please visit us at www.coastaldental.com. Page 2 of 15 SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND COASTAL DENTAL PLAN PREFERRED PROVIDERS - GENERAL DENTAL ACTIVE PROVIDERS a Division of Western Dental Plan Management, Incorporated Provider Listing Print Date - 1/30/2007 CERRITOS CORONA CULVER CITY Paul K. Kim, D.D.S. Jeffery Inspektor, D.D.S. Ely Uy, D.D.S. 11900 South Street, Suite #122 800 Magnolia Avenue, Suite #103 10826 Venice Boulevard, Suite #101 Cerritos, CA 90703 Corona, CA 92879 Culver City, CA 90232 (562) 809-6177 (951) 736-1822 (310) 837-8627 CHATSWORTH COSTA MESA CYPRESS Michael A. D'Egidio, D.D.S. David Diaz, D.D.S. Rajiv P. Sitwala, D.D.S. 21029 Devonshire Street 1801 Newport Boulevard, Suite B 5641 Lincoln Avenue Chatsworth, CA 91311 Costa Mesa, CA 92627 Cypress, CA 90630 (818) 998-6446 (949) 548-5588 (714) 826-4360 CHATSWORTH COVINA DIAMOND BAR Alan Wolfson, D.D.S. James Chae, D.D.S. Rebecca Arambulo, D.D.S. 21029 Devonshire Street 558 West Badilla Street 22640 Golden Springs Drive, Suite A Chatsworth, CA 91311 Covina, CA 91722 Diamond Bar, CA 91765 (818) 998-6446 (626) 331-0506 (909) 860-2656 CHINO COVINA DIAMOND BAR Tracy Ngo, D.D.S. Celia Octoman, D.D.S. Chris Kim, D.D.S. 12411 Central Avenue 223 West San Bernardino Road 1391 South Diamond Bar Chino, CA 91710 Covina, CA 91723 Diamond Bar, CA 91765 (909) 591-8895 (626) 339-1180 (909) 860-1222 COLTON COVINA DIAMOND BAR William Miller, D.D.S. Steven Skurow, D.D.S. Jack Oh, D.D.S. 251 East Valley Road 629 South 2nd Avenue 1200 South Diamond Bar, Suite #212 Colton, CA 92324 Covina, CA 91723 Diamond Bar, CA 91765 (909) 825-0545 (626) 915-8744 (909) 860-5788 COMPTON CUDAHY DOWNEY Azeem Qureshi, D.D.S. Javad Kolahi, D.D.S. Steven Aivazian, D.D.S. 1315 North Bullis Road, Suite #3 8003 South Atlantic Avenue 10850 Paramount Boulevard Compton, CA 90221 Cudahy, CA 90201 Downey, CA 90242 (310) 639-5330 (323) 560-6000 (562) 869-1686 CORONA CUDAHY DOWNEY Peter Brightman, D.D.S. Ladan Zinati, D.D.S. Hovanes (John) Bekeredjian, D.D.S. 720 South Ramona, Suite #204 7607-9 Atlantic Avenue 10805 Paramount Boulevard Corona, CA 92879 Cudahy, CA 90201 Downey, CA 90241 (951) 735-5588 (323) 771-7254 (562) 869-1686 CORONA CULVER CITY DOWNEY Lita Hermansjah, D.D.S. Felix Peng, D.D.S. George Gholdoian, D.D.S. 916 West Sixth Street 4740 Inglewood Boulevard 10501 Lakewood Boulevard, Suite A Corona, CA 92882 Culver City, CA 90230 Downey, CA 90241 (951) 738-1749 (310) 313-1063 (562) 862-2341 This General Dental Provider List is for the sole use of the intended recipient(s), and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. IMPORTANT: It is the responsibility of the participant to validate that the Provider listed above is a Coastal Dental Provider for your particular ERISA Trust prior to any treatment plan(s). For the most current and up to date Provider listing please visit us at www.coastaldental.com. Page 3 of 15 SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND COASTAL DENTAL PLAN PREFERRED PROVIDERS - GENERAL DENTAL ACTIVE PROVIDERS a Division of Western Dental Plan Management, Incorporated Provider Listing Print Date - 1/30/2007 DOWNEY EL MONTE FONTANA Jeffery Joy, D.D.S.
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