Individual
VALENTINA BARANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1990 W MAIN ST, STAMFORD, CT 06902-4563
(203) 327-1100
Mailing address
11120 76TH RD APT 2A, FOREST HILLS, NY 11375-6448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11407
CT
Other
Enumeration date
11/20/2014
Last updated
07/30/2015
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