Provider Demographics
NPI:1871717413
Name:GORIN, SVETLANA (DMD)
Entity type:Individual
Prefix:MRS
First Name:SVETLANA
Middle Name:
Last Name:GORIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15725 POMERADO RD 202
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064
Mailing Address - Country:US
Mailing Address - Phone:858-485-7788
Mailing Address - Fax:858-485-7782
Practice Address - Street 1:15725 POMERADO RD 202
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064
Practice Address - Country:US
Practice Address - Phone:858-485-7788
Practice Address - Fax:858-485-7782
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47851122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist