Parisa Shokri, Dmd P.c. | |
311 Commonwealth Ave Apt 10 Boston MA 02115-1922 | |
(617) 267-4777 | |
(617) 267-1277 |
Full Name | Parisa Shokri, Dmd P.c. |
---|---|
Speciality | Dentist |
Location | 311 Commonwealth Ave Apt 10, Boston, Massachusetts |
Authorized Official Name and Position | Parisa Shokri Soltanabadi (OWNER) |
Authorized Official Contact | 6176765090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Parisa Shokri, Dmd P.c. 311 Commonwealth Ave Apt 10 Boston MA 02115-1922 Ph: (617) 267-4777 | Parisa Shokri, Dmd P.c. 311 Commonwealth Ave Apt 10 Boston MA 02115-1922 Ph: (617) 267-4777 |
NPI Number | 1265182281 |
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Provider Enumeration Date | 03/24/2022 |
Last Update Date | 05/04/2022 |
Medicare PECOS PAC ID | 6305224221 |
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Medicare Enrollment ID | O20220606002342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265182281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Parisa Shokri Soltanabadi |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1851760029 PECOS PAC ID: 2062719842 Enrollment ID: I20220606002457 |
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