Individual
CHRISTINE L BAVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
241 NILES CORTLAND RD NE, WARREN, OH 44484
(330) 856-5151
(330) 856-5554
Mailing address
241 NILES CORTLAND RD NE, WARREN, OH 44484
(330) 856-5151
(330) 856-5554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596154
—
OH
Enumeration date
09/26/2006
Last updated
07/08/2007
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