Professional Dental Image
NPI #1881105484 in Watertown, Massachusetts
Provider Information
- NPI Number
- 1881105484
- Entity Type
- Organization
- Organization Name
- Professional Dental Image
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 23, 2017
- Last Updated
- Oct 23, 2017
Practice Location
- Address
- 53 BIGELOW AVE
- City
- Watertown
- State
- Massachusetts
- ZIP Code
- 02472-2009
- Phone
- (248) 824-4916
Authorized Official
- Name
- MUSTAFA ZAKKOOM, DDS
- Title
- DENTIST
- Phone
- (248) 824-4916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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