Individual
NUBA AFZAL SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
75 SPRING ST, WEST ROXBURY, MA 02132-4335
(585) 831-2456
Mailing address
75 SPRING ST, WEST ROXBURY, MA 02132-4335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859848
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2023
Last updated
07/12/2023
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