Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DL12853 | MA |
N | 122300000X | Dentist | DL12854 | MA |
N | 122300000X | Dentist | DL12884 | MA |
NPI | 1003014614 |
---|---|
Provider Name | Dr. Rocio Saavedra |
First Address | Boston, MA 02116-2028 |
Second Address | Boston, MA 02111-1527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 16/02/2017 |