Stanislav Kovtun Dmd, PC

NPI #1902931686 in Brookline, Massachusetts

Provider Information

NPI Number: 1902931686
Entity Type: Organization
Organization Name: Stanislav Kovtun Dmd, PC
Primary Specialty: Dentist
Enumeration Date: Feb 22, 2007
Last Updated: Oct 27, 2020

Practice Location

Address: 185 HARVARD STREET
City: Brookline
State: Massachusetts
ZIP Code: 02446-5013
Phone: (617) 274-8494

Authorized Official

Name: DR. STANISLAV KOVTUN, DMD
Title: OWNER
Phone: (617) 277-6360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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