Individual
KAMILLA AGABABAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GREYROCK PL STE 116, STAMFORD, CT 06901-3113
(203) 348-0300
Mailing address
100 GREYROCK PL STE 116, STAMFORD, CT 06901-3113
(718) 218-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13737
CT
Other
Enumeration date
04/19/2022
Last updated
06/12/2023
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