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1730530577
TATIANA AGABABAEVA
BRIDGEPORT, CT
NPI
1730530577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CT 11641)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
TATIANA AGABABAEVA DMD
90 BROOKLAWN AVE
BRIDGEPORT, CT 06604-2010
Phone number: 203-334-4837
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Mailing Address
TATIANA AGABABAEVA DMD
90 BROOKLAWN AVE
BRIDGEPORT, CT 06604-2010
Phone number: 203-334-4837
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