TATYANA LYSENKO

MOUNT LAUREL, NJ
NPI1093056194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI01901700)
Enumeration Date2013-03-14
Last Update Date2015-09-28
Business Address
TATYANA LYSENKO
3201 ROUTE 38 SUITE 102
MOUNT LAUREL, NJ 08054-9721
Phone number: 856-722-0333
Mailing Address
TATYANA LYSENKO
3201 ROUTE 38 SUITE 102
MOUNT LAUREL, NJ 08054-9721
Phone number: 856-722-0333