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Organization
WABAN DENTAL SPECIALIST GROUP
Active
Organization
WABAN DENTAL SPECIALIST GROUP
Active
Other names
Waban Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALAAEDDIN ALWAZZAN (PRESIDENT)
(781) 894-0347
Entity
Organization
Contact information
Practice address
1180 BEACON STREET, WABAN, MA 02461
(617) 527-6061
Mailing address
1180 BEACON STREET, WABAN, MA 02461
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
09/11/2025
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