Individual
DR. LAGINA DAWN BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-0950
Mailing address
17 DRYDEN AVE, PAWTUCKET, RI 02860-5720
(401) 487-1285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D18179
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301144
—
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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