Individual
DR. LINA A AL-ASWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1133 BROADWAY, SOMERVILLE, MA 02144
(617) 625-3636
(617) 625-6997
Mailing address
1133 BROADWAY, SOMERVILLE, MA 02144
(617) 625-3636
(617) 625-6997
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297968
MASS HEALTH
MA
01
—
9715011
MASS HEALTH
MA
Enumeration date
09/07/2006
Last updated
07/08/2007
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