Provider Demographics
NPI:1326568510
Name:NUNEZ, NATALI (DDS, MMSC)
Entity Type:Individual
Prefix:DR
First Name:NATALI
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:DDS, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 PARK AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1985
Mailing Address - Country:US
Mailing Address - Phone:508-755-3636
Mailing Address - Fax:
Practice Address - Street 1:255 PARK AVE STE 303
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1985
Practice Address - Country:US
Practice Address - Phone:508-755-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18576541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics