Individual
DR. NITHYA MINNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MMSC
Contact information
Practice address
115 NEWBURY ST STE 501, BOSTON, MA 02116-2971
(617) 536-0365
Mailing address
115 NEWBURY ST STE 501, BOSTON, MA 02116-2971
(617) 472-3919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855975
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855975
MA
Other
Enumeration date
06/07/2012
Last updated
09/19/2024
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