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General NPI Number Information
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NPI Number | 1730367004
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Entity Type | Organization
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Legal Business Name | ELHAM PARTOVI DENTAL CORP
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 103 N MACLAY AVE STE A
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2906
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Country | US
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Telephone | 818-837-9744
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Fax | 818-837-9303
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Provider Business Mailing Address
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Address Line | 103 N MACLAY AVE
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2906
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Country | US
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Telephone | 818-837-9744
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Fax | 818-837-9303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELHAM PARTOVI
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Credential | DDS
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Telephone | 818-590-4720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 48660
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 52651
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License Number State | CA
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