Organization
LINA AL-ASWAD , DMD, PC
Active
Other names
Al-Aswad Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA A AL-ASWAD DMD (DENTIST/OWNER)
(617) 625-3636
Entity
Organization
Contact information
Practice address
1133 BROADWAY, SOMERVILLE, MA 02144-1826
(617) 625-3636
(617) 625-6997
Mailing address
1133 BROADWAY, SOMERVILLE, MA 02144-1826
(617) 625-3636
(617) 625-6997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297968
MASSHEALTH
MA
Enumeration date
03/17/2008
Last updated
03/17/2008
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