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3206 Washington Blvd Marina Del Rey CA 90292-5553 | |
| (310) 822-3833 | |
| (310) 822-9623 |
| Full Name | |
|---|---|
| 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 |
|---|---|
3206 Washington Blvd Marina Del Rey CA 90292-5553 Ph: (310) 822-3833 | 3206 Washington Blvd Marina Del Rey CA 90292-5553 Ph: (310) 822-3833 |
| NPI Number | 1548635444 |
|---|---|
| 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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