Individual
NAZIA PATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 MAIN ST, WALTHAM, MA 02451-7447
(781) 666-6000
Mailing address
202 MAIN ST, WALTHAM, MA 02453-6628
(617) 671-5143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000004
MA
Other
Enumeration date
03/09/2023
Last updated
03/12/2025
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