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Organization

FAMILY DENTISTRY OF DERBY P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK AGABABAEV DDS (PRESIDENT)
(718) 887-1397
Entity
Organization

Contact information

Practice address
115 NEW HAVEN AVE, DERBY, CT 06418-2154
(203) 751-9657
(203) 751-9827
Mailing address
115 NEW HAVEN AVE, DERBY, CT 06418-2154
(203) 751-9657
(203) 751-9827

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/27/2012
Last updated
10/29/2014
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