Individual
NURULLA DIYANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1125 TREMONT ST, ROXBURY CROSSING, MA 02120-2178
(617) 989-3240
(617) 989-3247
Mailing address
1125 TREMONT ST, ROXBURY CROSSING, MA 02120-2178
(617) 989-3240
(617) 989-3247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9556
MA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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