Organization
ALAA ALWAZZAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAAEDDIN ALWAZZAN DMD, MSC, FACP (DENTIST, PRESIDENT)
(617) 328-5060
Entity
Organization
Contact information
Practice address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Mailing address
580 HANCOCK ST, QUINCY, MA 02170-1909
(617) 328-5060
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
22162
MA
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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