Individual
ALENA SERGAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 MAIN ST, WALPOLE, MA 02081-1729
(508) 668-8008
(508) 668-8808
Mailing address
1428 MAIN ST, WALPOLE, MA 02081-1729
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1858199
MA
Other
Enumeration date
05/15/2014
Last updated
11/30/2023
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