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3390 Loma Vista Rd Ste. A Ventura CA 93003 | |
| (805) 653-0620 | |
| (805) 658-6459 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3390 Loma Vista Rd Ste. A, Ventura, California |
| Authorized Official Name and Position | Elhan Partovi (OWNER) |
| Authorized Official Contact | 8056530620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3390 Loma Vista Rd Ste. A Ventura CA 93003 Ph: (805) 653-0620 | 3390 Loma Vista Rd Ste. A Ventura CA 93003 Ph: (805) 653-0620 |
| NPI Number | 1023355153 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023355153 | NPI | - | NPPES |
| 1427104223 | Other | CA | DENTAL |
| 1336233063 | Other | CA | DENTAL |
| 1730367004 | Other | CA | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0177252 (California) | Primary |
Jacob Rider Dds Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2437 Harbor Blvd, Ventura, CA 93001 Phone: 805-804-5590 | |
Nanda Specialists: A Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3088 Telegraph Rd Ste A, Ventura, CA 93003 Phone: 907-821-1992 | |
Ventura Dental Specialty Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3390 Loma Vista Rd, Suite#c, Ventura, CA 93003 Phone: 805-658-0700 Fax: 805-658-0777 |