Organization
DANVERS AESTHETIC FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAAEDDIN ALWAZZAN DMD (PRESIDENT)
(617) 669-9839
Entity
Organization
Contact information
Practice address
2 ORCHARD LN STE C, DANVERS, MA 01923-3428
(978) 774-0725
Mailing address
500 ATLANTIC AVE UNIT 14K, BOSTON, MA 02210-2245
(617) 669-9839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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