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Organization
ALAA ALWAZZAN DMD PC
Active
Organization
ALAA ALWAZZAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAAEDDIN ALWAZZAN DMD, MSC, FACP (DENTIST, PRESIDENT)
(617) 328-5060
Entity
Organization
Contact information
Practice address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Mailing address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
22162
MA
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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