Organization
DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA TARAN DDS (DOCTOR)
(718) 625-3106
Entity
Organization
Contact information
Practice address
5065 MAIN STREET, #1118, TRUMBULL, CT 06611
(203) 373-9099
(203) 373-9299
Mailing address
5065 MAIN ST, #1118, TRUMBULL, CT 06611-4204
(203) 373-9099
(203) 373-9299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009326
CT
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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