| Lexington Smile Studio, Pc | |
|
922 Waltham St Ste 202 Lexington MA 02421-8019 | |
| (781) 861-7645 | |
| Not Available |
| Full Name | Lexington Smile Studio, Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 922 Waltham St Ste 202, Lexington, Massachusetts |
| Authorized Official Name and Position | Alaaeddin Alwazzan (PRESIDENT) |
| Authorized Official Contact | 6176699839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Smile Studio, Pc 500 Atlantic Ave Unit 14k Boston MA 02210-2245 Ph: (176) 699-8396 | Lexington Smile Studio, Pc 922 Waltham St Ste 202 Lexington MA 02421-8019 Ph: (781) 861-7645 |
| NPI Number | 1154818359 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 04/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154818359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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