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Organization
WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
Active
Organization
WAHID MISTIKAWI DBA GREATWOODS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAHID MISTIKAWI D.M.D (DENTIST)
(508) 339-4171
Entity
Organization
Contact information
Practice address
792SOUTH MAIN ST, 24, MANSFIELD, MA 02048-3137
(508) 339-4171
(508) 339-8311
Mailing address
792 S MAIN ST, MANSFIELD, MA 02048-3137
(508) 339-4171
(508) 339-8311
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN17639
MA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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