Organization
DENTAL HQ LLC
Active
Other names
CRYSTAL DENTAL FAMILY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR AL-KAZAZ DMD (DENTIST)
(617) 990-2143
Entity
Organization
Contact information
Practice address
23 UNION ST, BRIDGEWATER, MA 02324-1412
(508) 697-6596
Mailing address
23 UNION ST, BRIDGEWATER, MA 02324-1412
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/07/2023
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