Individual
ANITA NASSERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
170 BROOKLINE AVE UNIT 1030, BOSTON, MA 02215-3925
(312) 363-7983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000897
MA
Other
Enumeration date
04/29/2025
Last updated
08/15/2025
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