Individual
DR. TATYANA KAGANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
5924 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1842
(856) 663-4881
Mailing address
5924 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1842
(856) 663-4881
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02240300
NJ
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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