Individual
DR. BOJANA HRISTOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2279 N PARK DR STE 810, HOLLAND, MI 49424-8527
(616) 392-1500
Mailing address
712 E 87TH ST, CHICAGO, IL 60619-6246
(424) 421-9244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019032658
IL
1223G0001X
General Practice Dentistry
Primary
2901601597
MI
Other
Enumeration date
06/05/2020
Last updated
10/09/2024
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