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General NPI Number Information
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NPI Number | 1023355153
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Entity Type | Organization
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Legal Business Name | E. PARTOVI & P. NAFFAS DENTAL CORP.
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 3390 LOMA VISTA RD STE. A
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-653-0620
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Fax | 805-658-6459
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Provider Business Mailing Address
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Address Line | 3390 LOMA VISTA RD STE. A
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-653-0620
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Fax | 805-658-6459
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELHAN PARTOVI
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Credential | DDS
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Telephone | 805-653-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0177252
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License Number State | CA
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