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Individual

ALENA BARYSENKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1379 MORRIS AVE, UNION, NJ 07083-3340
(908) 687-5489
Mailing address
2738 E 19TH ST APT A12, BROOKLYN, NY 11235-3319
(818) 288-3134

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02583100
NJ

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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