Provider Demographics
NPI:1588611776
Name:PARTOVI, MARJAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARJAN
Middle Name:
Last Name:PARTOVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7806 CENTREVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2231
Mailing Address - Country:US
Mailing Address - Phone:703-368-1166
Mailing Address - Fax:703-331-0356
Practice Address - Street 1:7806 CENTREVILLE RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-2231
Practice Address - Country:US
Practice Address - Phone:703-368-1166
Practice Address - Fax:703-331-0356
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014103781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice