Organization
QUINCY DENTISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEL BADAWI (OWNER)
(617) 472-7910
Entity
Organization
Contact information
Practice address
79 ELM ST, QUINCY, MA 02169-5414
(617) 472-7910
Mailing address
79 ELM ST, QUINCY, MA 02169-5414
(617) 472-7910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18691
MA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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