Waban Dental Specialist Group | |
1180 Beacon Street Waban MA 02461 | |
(617) 527-6061 | |
Not Available |
Full Name | Waban Dental Specialist Group |
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Speciality | Clinic/center - Dental |
Location | 1180 Beacon Street, Waban, Massachusetts |
Authorized Official Name and Position | Alaaeddin Alwazzan (PRESIDENT) |
Authorized Official Contact | 7818940347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waban Dental Specialist Group 1180 Beacon Street Waban MA 02461 Ph: () - | Waban Dental Specialist Group 1180 Beacon Street Waban MA 02461 Ph: (617) 527-6061 |
NPI Number | 1356989446 |
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Provider Enumeration Date | 12/19/2019 |
Last Update Date | 12/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356989446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |