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Organization
DR. SHPORTKO PLLC
Active
Organization
DR. SHPORTKO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRII SHPORTKO DMD (OWNER)
(914) 841-6954
Entity
Organization
Contact information
Practice address
95 MORGAN ST APT 1A, STAMFORD, CT 06905-5411
(914) 841-6954
Mailing address
95 MORGAN ST APT 1A, STAMFORD, CT 06905-5411
(914) 841-6954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/01/2020
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