Wahid Mistikawi Dba Greatwoods Family Dentistry
Wahid Mistikawi Dba Greatwoods Family Dentistry is a Preferred Provider Organization in Mansfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.
- Licensed in
- MA
- In the registry since
- 2013
Practice location Address checks out
792SOUTH Main St 24Mansfield, MA 02048-3137
Phone: (508) 339-4171
Fax: (508) 339-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence DN17639 (MA) |
|---|
Record details
| NPI number | 1417399270 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wahid Mistikawi — Dentist · (508) 339-4171 |
| NPI enumerated | July 22, 2013 |
| Last updated in NPPES | July 22, 2013 |
| Mailing address | 792 S Main St, Mansfield, MA 02048-3137 |