Individual
OLIVIA WATROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5888
(617) 432-1434
(617) 432-4258
Mailing address
38 WILLIAMS ST # 2, BOSTON, MA 02119-2025
(203) 640-2823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859758
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
07/13/2023
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