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Badrieh Edalatpour, DMD
Pediatric Dentist in Boston, Massachusetts
NPI 1578570123

Badrieh Edalatpour is a Pediatric Dentist based in Boston, MA and is specialized in Pediatric Dentistry. Badrieh Edalatpour practices in Boston, MA and has the professional credentials of DMD. The NPI Number for Badrieh Edalatpour is 1578570123 and holds a License No. 19756 (Massachusetts).

The current practice location address for Badrieh Edalatpour is 68 New Edgerly Rd, Boston, MA and can be reached out via phone at 617-262-5880 and via fax at 617-859-8804.

Location: 68 New Edgerly Rd, Boston, MA, 02115-3503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578570123
Provider Name
Badrieh Edalatpour
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
68 New Edgerly Rd, Boston, MA, 02115-3503
Phone Number
617-262-5880
Fax Number
617-859-8804
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0282685 05 MA
X10762 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
68 New Edgerly Rd
City
Boston
State
Massachusetts
Zip
02115-3503
Phone Number
617-262-5880
Fax Number
617-859-8804
person
Provider Business Mailing Address Details
Address
68 New Edgerly Rd
City
Boston
State
Massachusetts
Zip
02115-3503
Phone Number
617-262-5880
Fax Number
617-859-8804
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
19756 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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