Provider Demographics
NPI:1467938902
Name:DUWAJI, OSAMA SAWAF (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:SAWAF
Last Name:DUWAJI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRISTOL LN
Mailing Address - Street 2:
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1361
Mailing Address - Country:US
Mailing Address - Phone:508-517-6181
Mailing Address - Fax:
Practice Address - Street 1:90 ORNE ST
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-6328
Practice Address - Country:US
Practice Address - Phone:508-461-2310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MATBD1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice