Individual
DR. PARISA TASHAKKORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
247 MOUNT JEFFERSON STATE PARK RD STE 7, WEST JEFFERSON, NC 28694-8042
(336) 649-4001
(804) 285-1292
Mailing address
247 MOUNT JEFFERSON STATE PARK RD STE 7, WEST JEFFERSON, NC 28694-8042
(336) 649-4001
(804) 285-1292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000353
VA
122300000X
Dentist
Primary
10666
NC
Other
Enumeration date
06/06/2017
Last updated
10/08/2021
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