LARISA ANISIMOV

NORWICH, CT
NPI1477590859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CT  6403)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
-- LARISA ANISIMOV RDH
47 TOWN ST
NORWICH, CT 06360-2315
Phone number: 860-892-7042
Mailing Address
-- LARISA ANISIMOV RDH
47 TOWN ST
NORWICH, CT 06360-2315
Phone number: 860-892-7042