Organization
WELLINGTON CIRCLE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZAKI M MUKDISSI DMD (PRESIDENT OWNER)
(781) 306-9644
Entity
Organization
Contact information
Practice address
616 FELLSWAY, SECOND FLOOR, MEDFORD, MA 02155
(781) 306-9644
(781) 306-9726
Mailing address
616 FELLSWAY, SECOND FLOOR, MEDFORD, MA 02155
(781) 306-9644
(781) 306-9726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19475
MA
1223P0300X
Periodontics
19255
MA
1223P0700X
Prosthodontics
Primary
21063
MA
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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