Tatiana Agababaeva, DMD Valid NPI
Individual provider · Dentist · Bridgeport, CT
- NPI
- 1730530577
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 11641 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-06-23
- Last updated
- 2016-06-23
Practice location
90 Brooklawn Ave
Bridgeport, CT 06604-2010
(203) 334-4837