| 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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