NPI | 1992246458 |
---|---|
Doing Business As | ALPHA PLUS DENTAL CENTER OF WATERTOWN |
Entity Type | Organization |
Authorized Contact | STANISLAV KOVTUN Clinical Director 781-264-2067 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MA DN1856247) |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |