Organization
ELHAM PARTOVI DENTAL CORP
Active
Other names
Heavenly Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELHAM PARTOVI DDS (PRESIDENT)
(818) 590-4720
Entity
Organization
Contact information
Practice address
103 N MACLAY AVE STE A, SAN FERNANDO, CA 91340-2906
(818) 837-9744
(818) 837-9303
Mailing address
103 N MACLAY AVE, SAN FERNANDO, CA 91340-2906
(818) 837-9744
(818) 837-9303
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
48660
CA
261QD0000X
Dental Clinic/Center
Primary
52651
CA
Other
Enumeration date
02/08/2008
Last updated
10/20/2025
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