| 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 | 
|---|---|
| Provider Enumeration Date | 03/24/2022 | 
| Last Update Date | 05/04/2022 | 
| Medicare PECOS PAC ID | 6305224221 | 
|---|---|
| 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 | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1851760029 PECOS PAC ID: 2062719842 Enrollment ID: I20220606002457  | 
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