Organization
ANJUM A ANSARI DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJUM A ANSARI DMD (OWNER)
(617) 523-6633
Entity
Organization
Contact information
Practice address
50 STANIFORD ST, 8TH FLOOR, BOSTON, MA 02114-2517
(617) 523-6633
Mailing address
50 STANIFORD ST, 8TH FLOOR, BOSTON, MA 02114-2517
(617) 523-6633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
08/22/2020
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