Healthcare Provider Details

I. General information

NPI: 1912687260
Provider Name (Legal Business Name): AILIN PARNIA D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 09/02/2026
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22541 GRATIOT AVE DENTAL DREAMS PLLC
EASTPOINT MI
48021
US

IV. Provider business mailing address

22541 GRATIOT AVE DENTAL DREAMS PLLC
EASTPOINT MI
48021
US

V. Phone/Fax

Practice location:
  • Phone: 586-777-0001
  • Fax:
Mailing address:
  • Phone: 586-777-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603201
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: