Provider Demographics
NPI:1447362215
Name:KAIRLIS, YOSSRI MAHIR (DMD)
Entity type:Individual
Prefix:DR
First Name:YOSSRI
Middle Name:MAHIR
Last Name:KAIRLIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WESTFIELD STREET
Mailing Address - Street 2:WEST SIDE DENTAL INC
Mailing Address - City:W SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089
Mailing Address - Country:US
Mailing Address - Phone:413-732-0660
Mailing Address - Fax:413-732-0135
Practice Address - Street 1:11 WESTFIELD STREET
Practice Address - Street 2:WEST SIDE DENTAL INC
Practice Address - City:W SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089
Practice Address - Country:US
Practice Address - Phone:413-732-0660
Practice Address - Fax:413-732-0135
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist