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Organization

CITIDENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BASEL BADAWI DMD (PRESIDENT)
(617) 723-6300
Entity
Organization

Contact information

Practice address
63 COURT ST, BOSTON, MA 02108-2109
(617) 723-6300
(617) 723-1717
Mailing address
63 COURT ST, BOSTON, MA 02108-2109
(617) 723-6300
(617) 723-1717

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18691
MA

Other

Enumeration date
08/24/2010
Last updated
08/24/2010
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