Individual
TETYANA POHORLETSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
65 GLENBROOK RD, APT. 7E, STAMFORD, CT 06902-2970
(203) 517-9507
Mailing address
65 GLENBROOK RD, APT. 7E, STAMFORD, CT 06902-2970
(203) 517-9507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010053
CT
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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