Encino Dental Excellence | |
3206 Washington Blvd Marina Del Rey CA 90292-5553 | |
(310) 822-3833 | |
(310) 822-9623 |
Full Name | Encino Dental Excellence |
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Speciality | Dentist |
Location | 3206 Washington Blvd, Marina Del Rey, California |
Authorized Official Name and Position | Ramin D Partovy (DENTIST/OWNER) |
Authorized Official Contact | 3108223833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Encino Dental Excellence 3206 Washington Blvd Marina Del Rey CA 90292-5553 Ph: (310) 822-3833 | Encino Dental Excellence 3206 Washington Blvd Marina Del Rey CA 90292-5553 Ph: (310) 822-3833 |
NPI Number | 1548635444 |
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Provider Enumeration Date | 12/03/2015 |
Last Update Date | 12/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548635444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 37892 (California) | Primary |
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