Individual
DR. NIMA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
700 SOUTHBRIDGE ST STE 2, WORCESTER, MA 01610-2941
(774) 243-9500
Mailing address
45 SENTINEL DR, BASKING RIDGE, NJ 07920-4231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02540000
NJ
Other
Enumeration date
07/24/2013
Last updated
10/01/2019
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