| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OMAR AL-KAZAZ | 1265077655 | 2019-11-09 |
Omar Al-kazaz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265077655. Registration indicates Omar Al-kazaz is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Omar Al-kazaz |
| Practice Office Address | 23 UNION ST BRIDGEWATER, MA US |
| Practice Office Telephone | 5086976596 |
| Mailing Address | 23 UNION ST BRIDGEWATER, MA 023241412 US |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DN1858508
MA |