Organization
LEXINGTON SMILE STUDIO, PC
Active
Other names
Lexington Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ALAAEDDIN ALWAZZAN DMD (PRESIDENT)
(617) 669-9839
Entity
Organization
Contact information
Practice address
922 WALTHAM ST STE 202, LEXINGTON, MA 02421-8019
(781) 861-7645
Mailing address
500 ATLANTIC AVE UNIT 14K, BOSTON, MA 02210-2245
(176) 699-8396
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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