Organization
AFFORDABLE DENTAL CARE OF ATTLEBORO
Active
Other names
Affordable Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIKMAT HANNAWI D.M.D (OWNER)
(508) 222-2510
Entity
Organization
Contact information
Practice address
11 EMORY STREET, ATTLEBORO, MA 02703-3038
(508) 226-2623
Mailing address
11 EMORY ST, ATTLEBORO, MA 02703-3038
(508) 226-2623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299961
—
MA
01
—
19763
ALTUS DENTAL
MA
01
—
89461
DHA
MA
01
—
X12424
BCBS OF MASS
MA
Enumeration date
05/22/2007
Last updated
03/24/2010
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