Provider Demographics
NPI:1740223130
Name:ATTAR, WASSEEM (DDS, DMD)
Entity Type:Individual
Prefix:DR
First Name:WASSEEM
Middle Name:
Last Name:ATTAR
Suffix:
Gender:M
Credentials:DDS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 NORTH RD
Mailing Address - Street 2:SUITE # 207
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1037
Mailing Address - Country:US
Mailing Address - Phone:781-275-2556
Mailing Address - Fax:781-275-2273
Practice Address - Street 1:41 NORTH RD
Practice Address - Street 2:SUITE # 207
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1037
Practice Address - Country:US
Practice Address - Phone:781-275-2556
Practice Address - Fax:781-275-2273
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18871122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist