| Waban Dental Specialist Group | |
|
1180 Beacon Street Waban MA 02461 | |
| (617) 527-6061 | |
| Not Available |
| Full Name | Waban Dental Specialist Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1180 Beacon Street, Waban, Massachusetts |
| Authorized Official Name and Position | Alaaeddin Alwazzan (PRESIDENT) |
| Authorized Official Contact | 7818940347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waban Dental Specialist Group 1180 Beacon Street Waban MA 02461 Ph: () - | Waban Dental Specialist Group 1180 Beacon Street Waban MA 02461 Ph: (617) 527-6061 |
| NPI Number | 1356989446 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356989446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |