Individual
ABDULAZIZ ABDULWAHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
100 E NEWTON ST # G-705, BOSTON, MA 02118-2308
(617) 459-6478
Mailing address
10 FLORENCE ST APT 301, MALDEN, MA 02148-3938
(617) 459-6478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL13077
MA
390200000X
Student in an Organized Health Care Education/Training Program
DL13077
MA
Other
Enumeration date
09/12/2016
Last updated
06/06/2017
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