| Prime Dental Associates, Llc | |
| 
					220 N Main St Ste 203 Natick MA 01760-1100  | |
| (508) 655-5331 | |
| (508) 655-5449 | 
| Full Name | Prime Dental Associates, Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 220 N Main St Ste 203, Natick, Massachusetts | 
| Authorized Official Name and Position | Alaaeddin Alwazzan (PRESIDENT) | 
| Authorized Official Contact | 6176699839 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prime Dental Associates, Llc 220 N Main St Ste 203 Natick MA 01760-1100 Ph: (508) 655-5331  | Prime Dental Associates, Llc 220 N Main St Ste 203 Natick MA 01760-1100 Ph: (508) 655-5331  | 
| NPI Number | 1912278052 | 
|---|---|
| Provider Enumeration Date | 01/20/2012 | 
| Last Update Date | 01/20/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912278052 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 22162 (Massachusetts) | Primary | 
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