Individual
CRISTINA SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
386 W BROADWAY, SOUTH BOSTON, MA 02127-2215
(617) 464-5825
Mailing address
28 HEARD ST, CHELSEA, MA 02150-2406
(617) 792-1835
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH89806
MA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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