| |
115 Newbury St Ste 501 Boston MA 02116-2971 | |
(617) 536-0365 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 115 Newbury St Ste 501, Boston, Massachusetts |
Authorized Official Name and Position | Nithya Minnah (ORTHODONTIST/OWNER) |
Authorized Official Contact | 6175360365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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115 Newbury St Ste 501 Boston MA 02116-2971 Ph: (617) 536-0365 | 115 Newbury St Ste 501 Boston MA 02116-2971 Ph: (617) 536-0365 |
NPI Number | 1770945404 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 09/19/2024 |
Identifier | Type | State | Issuer |
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1770945404 | NPI | - | NPPES |
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