Organization
NIMA ANSARI DMD PLLC (DBA: OUR FAMILY DENTAL)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA ANSARI DMD (DENTIST)
(917) 364-1080
Entity
Organization
Contact information
Practice address
700 SOUTHBRIDGE ST STE 2, WORCESTER, MA 01610-2941
(774) 243-9500
Mailing address
87 GAINSBOROUGH ST APT 408, BOSTON, MA 02115-6537
(917) 364-1080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/29/2019
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