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Individual

MUSTAFA AL AZZAWI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 DANIEL WEBSTER HWY, NASHUA, NH 03060-5536
(603) 769-8448
Mailing address
70 EASTERN AVE, MALDEN, MA 02148-5014
(781) 338-0818

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
05206
NH
1223P0300X
Periodontics
Primary
DL100711
MA
124Q00000X
Dental Hygienist
25736
FL

Other

Enumeration date
08/15/2023
Last updated
08/13/2025
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