Provider Demographics
NPI:1770931065
Name:KARIA, PARTH SHAILESH (DMD, MA, BS)
Entity type:Individual
Prefix:DR
First Name:PARTH
Middle Name:SHAILESH
Last Name:KARIA
Suffix:
Gender:M
Credentials:DMD, MA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 176TH ST APT 277
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4069
Mailing Address - Country:US
Mailing Address - Phone:562-412-3636
Mailing Address - Fax:
Practice Address - Street 1:4168 N SIERRA WAY
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-3819
Practice Address - Country:US
Practice Address - Phone:909-886-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1037171223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics