Organization
ADULTS & CHILDREN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANISLAV OLEGOVICH TOKAREV MD (DENTIST OWNER)
(781) 592-4438
Entity
Organization
Contact information
Practice address
140 UNION ST, SUITE #303, LYNN, MA 01901
(781) 592-4438
(781) 593-1930
Mailing address
140 UNION ST, SUITE #303, LYNN, MA 01901
(781) 592-4438
(781) 593-1930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9783806
—
MA
Enumeration date
11/30/2006
Last updated
08/22/2020
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