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Organization
WALTHAM DENTAL GROUP
Active
Organization
WALTHAM DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MIHYAWI (DENTIST OWNER)
(617) 780-8299
Entity
Organization
Contact information
Practice address
32 SOUTH ST STE 202, WALTHAM, MA 02453-3555
(781) 894-2122
Mailing address
32 SOUTH ST STE 202, WALTHAM, MA 02453-3555
(781) 894-2122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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