Provider Demographics
NPI:1316441306
Name:PARTI DENTAL CORPORATION
Entity type:Organization
Organization Name:PARTI DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-251-6966
Mailing Address - Street 1:3450 STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-6341
Mailing Address - Country:US
Mailing Address - Phone:831-251-6966
Mailing Address - Fax:661-377-7000
Practice Address - Street 1:1970 MAIN ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3066
Practice Address - Country:US
Practice Address - Phone:831-251-6966
Practice Address - Fax:661-377-7000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARTI DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41979261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental