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Organization

GREAT DENTAL CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMAD HAKWATI (OWNER)
(708) 704-6741
Entity
Organization

Contact information

Practice address
77 CENTRAL ST, WINCHENDON, MA 01475-1609
(978) 297-0675
Mailing address
77 CENTRAL ST, WINCHENDON, MA 01475-1609
(978) 297-0675

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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