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Organization
NAS DENTAL LLC
Active
Organization
NAS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUBA AFZAL SIDDIQI DMD (GENERAL DENTIST)
(585) 831-2456
Entity
Organization
Contact information
Practice address
379A CENTRE ST, BOSTON, MA 02130-1241
(585) 831-2456
Mailing address
169 COREY ST, WEST ROXBURY, MA 02132-2339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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