Organization
AZEZA DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOUR M WERFALLI D.M.D. (PRESIDENT)
(781) 388-0000
Entity
Organization
Contact information
Practice address
410 HIGHLAND AVE, MALDEN, MA 02148-5444
(781) 388-0000
Mailing address
410 HIGHLAND AVE, MALDEN, MA 02148-5444
(781) 388-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18462
MA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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