Individual
ALYSSA ROSE KOTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
102 CHURCH ST, WHITINSVILLE, MA 01588-1416
(508) 612-2230
Mailing address
102 CHURCH ST, WHITINSVILLE, MA 01588-1416
(508) 612-2230
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1859030
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2021
Last updated
08/17/2025
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