Waban Dental Specialist Group
NPI #1356989446 in Waban, Massachusetts
Provider Information
- NPI Number
- 1356989446
- Entity Type
- Organization
- Organization Name
- Waban Dental Specialist Group
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 19, 2019
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1180 BEACON STREET
- City
- Waban
- State
- Massachusetts
- ZIP Code
- 02461
- Phone
- (617) 527-6061
Authorized Official
- Name
- ALAAEDDIN ALWAZZAN
- Title
- PRESIDENT
- Phone
- (781) 894-0347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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