Edalatpour, Badrieh
Edalatpour, Badrieh is an individual health care provider with primary practice located at 68 New Edgerly Rd , Boston MA 02115-3503. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Edalatpour, Badrieh can be contacted via phone (617) 262-5880.Contact Information
Primary practice address
68 New Edgerly Rd
Boston MA 02115-3503
Phone: (617) 262-5880
Fax: (617) 859-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 19756 | Massachusetts |
Profile Details
| NPI number | 1578570123 |
|---|---|
| LBN Legal business name | Edalatpour, Badrieh |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578570123 | NPPES |
| Massachusetts | MEDICAID | 0282685 | |
| Massachusetts | Other | X10762 |
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