Individual
DR. PARDIS KOLEINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 BRAMHALL STREET, MAINE MEDICAL CENTER, PORTLAND, ME 04102
(207) 662-0111
Mailing address
22 BRAMHALL STREET, MAINE MEDICAL CENTER, PORTLAND, ME 04102
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857896
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/19/2017
Last updated
06/04/2018
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