Provider Demographics
NPI:1023355153
Name:E. PARTOVI & P. NAFFAS DENTAL CORP.
Entity type:Organization
Organization Name:E. PARTOVI & P. NAFFAS DENTAL CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTOVI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-653-0620
Mailing Address - Street 1:3390 LOMA VISTA RD STE. A
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-653-0620
Mailing Address - Fax:805-658-6459
Practice Address - Street 1:3390 LOMA VISTA RD STE. A
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-653-0620
Practice Address - Fax:805-658-6459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0177252122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1427104223OtherDENTAL
CA1336233063OtherDENTAL
CA1730367004OtherDENTAL