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NPI Code Detail

MEDICARE: DR. SUMA PARAKKAL DMD

MEDICARE: DR. SUMA PARAKKAL DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22129MA

General Provider Information

NPI Number : 1417117474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMA PARAKKAL DMD
Provider Business Mailing Address
First Line : 38 CARTER ST
Second Line : UNIT 208
City : EVERETT
State : MA
Zip : 02149-2523
Country : US
Telephone Number : 617-763-4558
Fax Number :
Provider Business Practice Location Address
First Line : 375 AMHERST ST STE 2
Second Line :
City : NASHUA
State : NH
Zip : 03063-1216
Country : US
Telephone Number : 603-595-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 06/12/2008

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Directions to “ DR. SUMA PARAKKAL DMD” Practice Location

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