Individual provider · NPI-1

Dr. Yolanda Ibarreta Borbon, DDS

Dentist, General Practice · New London, CT

NPI number1750460465
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1750460465
Entity type
Individual (NPI-1)
Name
Dr. Yolanda Ibarreta Borbon
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice008988CTYes

Practice location

217 Broad St
New London, CT 06320-5314

Phone 860-437-8493 · Fax 860-437-8521

Mailing address

217 Broad St
New London, CT 06320-5314

Phone 860-437-8493 · Fax 860-437-8521

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