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NPI Code Detail

MEDICARE: KOLEINI DENTAL CORPORATION

MEDICARE: KOLEINI DENTAL CORPORATION
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
11223G0001XGeneral Practice DentistryDN1856384MA

General Provider Information

NPI Number : 1801312186
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOLEINI DENTAL CORPORATION
Provider Business Mailing Address
First Line : 1661 WASHINGTON ST APT 603
Second Line :
City : BOSTON
State : MA
Zip : 02118-3390
Country : US
Telephone Number : 781-249-3223
Fax Number :
Provider Business Practice Location Address
First Line : 10 DOANE ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7405
Country : US
Telephone Number : 978-372-6800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. PARSIA KOLEINI
Credential : DMD
Telephone Number : 781-249-3223
Provider Enumeration Date : 08/17/2017
Last Update Date : 08/17/2017

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Directions to “KOLEINI DENTAL CORPORATION ” Practice Location

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