Tetyana Pohorletska Andassociates, Inc. | |
90 Brooklawn Ave Bridgeport CT 06604-2010 | |
(347) 323-1715 | |
Not Available |
Full Name | Tetyana Pohorletska Andassociates, Inc. |
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Speciality | Dentist - General Practice |
Location | 90 Brooklawn Ave, Bridgeport, Connecticut |
Authorized Official Name and Position | Tetyana Pohorletska (OFFICER) |
Authorized Official Contact | 2035179507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tetyana Pohorletska Andassociates, Inc. 65 Glenbrook Road #7e Stamford CT 06902 Ph: (203) 517-9507 | Tetyana Pohorletska Andassociates, Inc. 90 Brooklawn Ave Bridgeport CT 06604-2010 Ph: (347) 323-1715 |
NPI Number | 1871863613 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
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1871863613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 010053 (Connecticut) | Primary |
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