Provider Demographics
NPI:1912106303
Name:PARSI, GOLI KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:GOLI
Middle Name:KAY
Last Name:PARSI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:GOLI
Other - Middle Name:KALKHORAN
Other - Last Name:NAJAFZADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:402 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-3823
Mailing Address - Country:US
Mailing Address - Phone:617-666-4444
Mailing Address - Fax:
Practice Address - Street 1:402 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3823
Practice Address - Country:US
Practice Address - Phone:617-666-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18563261223X0400X
CA559321223X0400X
NH036011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics