Individual
DR. SHAHNAAZ NISTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24242
TX
1223P0221X
Pediatric Dentistry
Primary
DN1857456
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952610008
—
MA
Enumeration date
10/06/2010
Last updated
09/28/2019
Update your record
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