Individual
MRS. OLGA GONCHAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
316 HOPE ST, FAMILY DENTAL PRACTICE, STAMFORD, CT 06906-1704
(203) 353-8532
(203) 353-8542
Mailing address
316 HOPE ST, FAMILY DENTAL PRACTICE, STAMFORD, CT 06906-1704
(203) 353-8532
(203) 353-8542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008984
CT
Other
Enumeration date
01/25/2007
Last updated
11/12/2015
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