STANISLAV KOVTUN

BROOKLINE, MA
NPI1699112151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  DN1856247)
Enumeration Date2013-05-23
Last Update Date2020-10-27
Business Address
STANISLAV KOVTUN D.M.D
185 HARVARD ST
BROOKLINE, MA 02446-5013
Phone number: 617-274-8494
Mailing Address
STANISLAV KOVTUN D.M.D
25 SHUMAN CIR
NEWTON, MA 02459-2767
Phone number: 781-264-2067