| Al-aswad Dental | |
|
1133 Broadway Somerville MA 02144-1826 | |
| (617) 625-3636 | |
| (617) 625-6997 |
| Full Name | Al-aswad Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1133 Broadway, Somerville, Massachusetts |
| Authorized Official Name and Position | Lina A Al-aswad (DENTIST/OWNER) |
| Authorized Official Contact | 6176253636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Al-aswad Dental 1133 Broadway Somerville MA 02144-1826 Ph: (617) 625-3636 | Al-aswad Dental 1133 Broadway Somerville MA 02144-1826 Ph: (617) 625-3636 |
| NPI Number | 1124299391 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124299391 | NPI | - | NPPES |
| 0297968 | Other | MA | MASSHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19750 (Massachusetts) | Primary |
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