Svetdanr Ponomareva DDS

NPI 1093796963 - Dentist - 122300000X

NPI Details
NPI 1093796963
Gender Female
Enumeration Date 11/08/2005
Last Updated 03/01/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
3627 BRODWAY
NY NY, 10031, US
Phone (212) 234-2300
Fax (212) 234-2301
Business Location
3627 BRODWAY
NY NY, 10031, US
Phone (212) 234-2300
Fax (212) 234-2301
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 049663
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According to our database, Dr. Svetdanr Ponomareva DDS NPI is 1093796963, taxonomy code is 122300000X and license number is 049663, license state is located at New York. Svetdanr Ponomareva DDS physically located at 3627 Brodway, Ny NY, 10031. NPI Number Svetdanr Ponomareva DDS has the Individual type.

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1093796963 NPI number is provided on an as is basis without warranty of any kind. 1093796963 is maintained by the National Plan & Provider Enumeration System. The contents of Svetdanr Ponomareva DDS are for informational purposes only.