Organization
WABAN DENTAL SPECIALIST GROUP
Active
Other names
Waban Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALAAEDDIN ALWAZZAN (PRESIDENT)
(781) 894-0347
Entity
Organization
Contact information
Practice address
1180 BEACON STREET, WABAN, MA 02461
(617) 527-6061
Mailing address
1180 BEACON STREET, WABAN, MA 02461
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
09/11/2025
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