Sam Partovi DMD

NPI 1720130883 - Dentist - 122300000X

NPI Details
NPI 1720130883
Gender Male
Enumeration Date 01/17/2007
Last Updated 10/15/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10175 W. TWAIN AVE
STE. #120
LAS VEGAS NV, 89147, US
Phone (702) 202-2300
Fax
Business Location
9883 GRAY SEA EAGLE AVE
LAS VEGAS NV, 89117-8425, US
Phone (702) 838-6677
Fax
Toxanomy
Taxonomy Code 122300000X
License State Nevada
License Number 4838T
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According to our database, Sam Partovi DMD NPI is 1720130883, taxonomy code is 122300000X and license number is 4838T, license state is located at Nevada. Sam Partovi DMD physically located at 10175 W. Twain Ave, Las Vegas NV, 89147. NPI Number Sam Partovi DMD has the Individual type.

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1720130883 NPI number is provided on an as is basis without warranty of any kind. 1720130883 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Partovi DMD are for informational purposes only.