Individual
JINA YAVARIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 989-3223
Mailing address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 989-3223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15517
MA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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