Organization
STANISLAV KOVTUN, DMD PC
Active
Other names
Alpha Plus Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
STANISLAV KOVTUN DMD (PRESIDENT)
(617) 277-6360
Entity
Organization
Contact information
Practice address
185 HARVARD ST, BROOKLINE, MA 02446
(617) 274-8494
(617) 277-7333
Mailing address
185 HARVARD ST, BROOKLINE, MA 02446
(617) 277-6360
(617) 277-7333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097248A
—
MA
Enumeration date
04/13/2016
Last updated
10/27/2020
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