Individual
MR. STANISLAV OLEGOVICH TOKAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 UNION STREET, 303, LYNN, MA 01901
(781) 592-4438
(781) 593-1930
Mailing address
140 UNION STREET, 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
—
0278157
—
MA
Enumeration date
11/30/2006
Last updated
07/08/2007
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