Individual
DR. SERGE ORLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
21 MAIN ST, WATERTOWN, MA 02472
(617) 924-9993
(617) 924-6860
Mailing address
21 MAIN ST, WATERTOWN, MA 02472-4403
(617) 924-9993
(617) 924-6860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202240
—
MA
Enumeration date
03/27/2007
Last updated
09/22/2011
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