Provider Demographics
NPI:1184821449
Name:PARTOVY, RAMIN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:D
Last Name:PARTOVY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13450 MAXELLA AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5662
Mailing Address - Country:US
Mailing Address - Phone:310-822-3833
Mailing Address - Fax:310-822-9623
Practice Address - Street 1:13450 MAXELLA AVE STE 220
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5662
Practice Address - Country:US
Practice Address - Phone:310-822-3833
Practice Address - Fax:310-822-9623
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA378921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice