Organization
IRINA RYBALOVA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA RYBALOVA (DDS)
(516) 378-2843
Entity
Organization
Contact information
Practice address
21 W MERRICK RD, IRINA RYBALOVA DDS, FREEPORT, NY 11520
(516) 378-2843
(516) 771-8877
Mailing address
21 W MERRICK RD, IRINA RYBALOVA PC, FREEPORT, NY 11520
(516) 378-2843
(516) 771-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049901
NY
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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