Organization
STANISLAV KOVTUN DMD, PC
Active
Other names
Alpha Plus Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANISLAV KOVTUN DMD (OWNER)
(617) 277-6360
Entity
Organization
Contact information
Practice address
185 HARVARD STREET, BROOKLINE, MA 02446-5013
(617) 274-8494
(617) 277-7333
Mailing address
185 HARVARD STREET, BROOKLINE, MA 02446-5013
(617) 277-6360
(617) 277-7333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278238
—
MA
Enumeration date
02/22/2007
Last updated
10/27/2020
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