Organization
NITHYA MINNAH LLC
Active
Other names
Minnah & Korn Orthodontics on Newbury Street
Organization subpart
No
Provider details
NPI number
Authorized official
NITHYA MINNAH (ORTHODONTIST/OWNER)
(617) 536-0365
Entity
Organization
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) 536-0365
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/22/2016
Last updated
09/19/2024
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