Organization
TETYANA POHORLETSKA ANDASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETYANA POHORLETSKA DDS (OFFICER)
(203) 517-9507
Entity
Organization
Contact information
Practice address
90 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2010
(347) 323-1715
Mailing address
65 GLENBROOK ROAD, #7E, STAMFORD, CT 06902
(203) 517-9507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010053
CT
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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