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ALLA GORENBEYN DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1063418234

Individual Registrant:
 ALLA  GORENBEYN DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
20 HARTFORD RD SUITE 34 SALEM, CT 06420-3800 US
Tel: 860-659-1341  Fax: --

Contact information for business:
20 HARTFORD RD SUITE 34 SALEM, CT 06420-3800 US
Tel: 860-659-1341  Fax: --

Registration Information:
NPI: 1063418234
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT009112

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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