Dental Board of California
Licensing details for: 987
Name: MAXELLA DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
DR PARTOVY FAMILY DENTISTRY
13450 MAXELLA AVE STE 220
MARINA DEL REY CA 90292
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PARTOVY, RAMIN D
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PARTOVY, RAMIN RAY-DAVID
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: PARTOVY, RAMIN RAY-DAVID
License/Registration Type: Dentist License
License Number: 37892 Primary Status: Current - Active
Address :
3206 WASHINGTON BLVD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY
