# YOSSRI KAIRLIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477672632
- **Authorized official:** DR. YOSSRI MAHIR KAIRLIS DMD (OWNER)
- **Authorized official phone:** (802) 251-1031

## Contact information

- **Practice address:** 130 BIRGE ST, BRATTLEBORO, VT 05301-6460
- **Practice address phone:** (802) 251-1031
- **Practice address fax:** (802) 251-0022
- **Mailing address:** 130 BIRGE ST, BRATTLEBORO, VT 05301-6460
- **Mailing address phone:** (802) 251-1031
- **Mailing address fax:** (802) 251-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 0160002043 | VT | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 12/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1006272 | — | VT |
