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1154975068
NATALIIA LYSA
BERLIN, CT
NPI
1154975068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 12541)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
NATALIIA LYSA DDS
39 WEBSTER SQUARE RD
BERLIN, CT 06037-2326
Phone number: 860-828-3933
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Mailing Address
NATALIIA LYSA DDS
573 GEORGE ST APT 3
NEW HAVEN, CT 06511-5371
Phone number: 203-214-9707
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