Individual
OMAR ALAZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1518 HANCOCK ST, QUINCY, MA 02169-5205
(617) 471-3600
Mailing address
788 WILLARD ST, APT. 505, QUINCY, MA 02169-7474
(248) 982-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856904
MA
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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