Alaa Alwazzan Dmd PC

NPI #1710218425 in Quincy, Massachusetts

Provider Information

NPI Number: 1710218425
Entity Type: Organization
Organization Name: Alaa Alwazzan Dmd PC
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 580 HANCOCK ST
City: Quincy
State: Massachusetts
ZIP Code: 02170-1909
Phone: (617) 328-5060

Authorized Official

Name: DR. ALAAEDDIN ALWAZZAN, DMD, MSC, FACP
Title: DENTIST, PRESIDENT
Phone: (617) 328-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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