| Nistar Pediatric Dentistry Pllc | |
|
76 Merrimack St Ste 8a Haverhill MA 01830-6246 | |
| (917) 892-3625 | |
| Not Available |
| Full Name | Nistar Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 76 Merrimack St Ste 8a, Haverhill, Massachusetts |
| Authorized Official Name and Position | Shahnaaz Nistar (DENTIST) |
| Authorized Official Contact | 9178923625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nistar Pediatric Dentistry Pllc 45 Owencroft Rd Boston MA 02124-4723 Ph: (917) 892-3625 | Nistar Pediatric Dentistry Pllc 76 Merrimack St Ste 8a Haverhill MA 01830-6246 Ph: (917) 892-3625 |
| NPI Number | 1215574694 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215574694 | NPI | - | NPPES |
| 1952610008 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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