| Susan Partovi D.d.s P.c | |
|
15235 Shady Grove Rd Suite 104 Rockville MD 20850-3234 | |
| (301) 990-0020 | |
| (301) 990-0448 |
| Full Name | Susan Partovi D.d.s P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15235 Shady Grove Rd, Rockville, Maryland |
| Authorized Official Name and Position | Mari Jachens (OFFICE MANAGER) |
| Authorized Official Contact | 3019900020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Partovi D.d.s P.c 15235 Shady Grove Rd Suite 104 Rockville MD 20850-3234 Ph: (301) 990-0020 | Susan Partovi D.d.s P.c 15235 Shady Grove Rd Suite 104 Rockville MD 20850-3234 Ph: (301) 990-0020 |
| NPI Number | 1942364161 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942364161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11155 (Maryland) | Primary |
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