Organization
PRIME DENTAL ASSOCIATES, LLC
Active
Other names
Metrowest Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAAEDDIN ALWAZZAN DMD (PRESIDENT)
(617) 669-9839
Entity
Organization
Contact information
Practice address
220 N MAIN ST STE 203, NATICK, MA 01760-1100
(508) 655-5331
(508) 655-5449
Mailing address
220 N MAIN ST STE 203, NATICK, MA 01760-1100
(508) 655-5331
(508) 655-5449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22162
MA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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