Individual
DR. MANAR ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 BOYLSTON ST STE 200, CHESTNUT HILL, MA 02467-2504
(617) 315-2573
Mailing address
1 TANNERY BROOK ROW UNIT 3B, SOMERVILLE, MA 02144-2765
(504) 617-0081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30026097
OH
1223G0001X
General Practice Dentistry
12632
NC
1223G0001X
General Practice Dentistry
Primary
DN1859741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355917
—
OH
Enumeration date
03/29/2019
Last updated
02/27/2024
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