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
Fax: (617) 859-8804
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578570123 NPPES
Massachusetts MEDICAID 0282685
Massachusetts Other X10762

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