Provider Demographics
NPI:1437362795
Name:ESTRADA & PARTI DENTAL CORP
Entity Type:Organization
Organization Name:ESTRADA & PARTI DENTAL CORP
Other - Org Name:HEALTHY SMILES KIDS AND FAMILY DENTIST
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-377-6453
Mailing Address - Street 1:3450 STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-377-6453
Mailing Address - Fax:661-377-7000
Practice Address - Street 1:3450 STINE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-377-6453
Practice Address - Fax:661-377-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37414122300000X
CA41979122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty