| NPI | 1922462100 |
|---|---|
| Doing Business As | ALPHA PLUS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STANISLAV KOVTUN President 617-277-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-10-27 |