Individual
ANASTASIA TALALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
27241 BAY LANDING DR STE 13, BONITA SPRINGS, FL 34135-4334
(239) 908-9935
Mailing address
4951 BONITA BAY BLVD UNIT 1601, BONITA SPRINGS, FL 34134-1729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24991
FL
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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