| Alpha Plus Dental Center Of Watertown | |
|
171 Watertown St Watertown MA 02472-2571 | |
| (617) 467-5113 | |
| Not Available |
| Full Name | Alpha Plus Dental Center Of Watertown |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 171 Watertown St, Watertown, Massachusetts |
| Authorized Official Name and Position | Stanislav Kovtun (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7812642067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Plus Dental Center Of Watertown 25 Shuman Cir Newton MA 02459-2767 Ph: (781) 264-2067 | Alpha Plus Dental Center Of Watertown 171 Watertown St Watertown MA 02472-2571 Ph: (617) 467-5113 |
| NPI Number | 1992246458 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992246458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856247 (Massachusetts) | Primary |
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