Individual
ROXANNE CHRISTY BAVARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-4276
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-3153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL12647
MA
122300000X
Dentist
Primary
DN1857055
MA
Other
Enumeration date
07/18/2015
Last updated
08/08/2022
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