Organization
MASI DENTAL GROUP PC
Active
Other names
Alpha Plus Dental Center of Watertown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANISLAV KOVTUN DMD (CLINICAL DIRECTOR)
(781) 264-2067
Entity
Organization
Contact information
Practice address
171 WATERTOWN ST, WATERTOWN, MA 02472-2571
(617) 467-5113
Mailing address
25 SHUMAN CIR, NEWTON, MA 02459-2767
(781) 264-2067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856247
MA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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