Individual
SHAIDA PARSAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(214) 463-1043
Mailing address
15 VERNON ST APT 3, BROOKLINE, MA 02446-4952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859951
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2023
Last updated
08/28/2023
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