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Individual

NAN E NILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
400 COMMONWEALTH AVE, BOSTON, MA 02215-2813
(781) 329-1400
(781) 278-5667

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14447
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016779
NEIGHBORHOOD HEALTH PLAN
01
14447
DELTA DENTAL
01
DMA772
HARVARD PILGRIM POS
01
X04454
DENTAL BLUE
Enumeration date
06/28/2005
Last updated
03/21/2016
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