Alla Gorenbeyn DMD

NPI 1063418234 - Dentist - 1223G0001X

NPI Details
NPI 1063418234
Gender Female
Enumeration Date 06/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
20 HARTFORD RD
SUITE 34
SALEM CT, 06420-3800, US
Phone (860) 659-1341
Fax
Business Location
20 HARTFORD RD
SUITE 34
SALEM CT, 06420-3800, US
Phone (860) 659-1341
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 009112
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According to our database, Alla Gorenbeyn DMD NPI is 1063418234, taxonomy code is 1223G0001X and license number is 009112, license state is located at Connecticut. Alla Gorenbeyn DMD physically located at 20 Hartford Rd, Salem CT, 06420-3800. NPI Number Alla Gorenbeyn DMD has the Individual type.

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1063418234 NPI number is provided on an as is basis without warranty of any kind. 1063418234 is maintained by the National Plan & Provider Enumeration System. The contents of Alla Gorenbeyn DMD are for informational purposes only.