JEROME LELAND LICHTENSTEIN

NORWICH, CT
NPI1518171727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CT  3755)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Dr. JEROME LELAND LICHTENSTEIN dds
113 LAFAYETTE ST
NORWICH, CT 06360-2708
Phone number: 860-889-1011
Mailing Address
Dr. JEROME LELAND LICHTENSTEIN dds
113 LAFAYETTE ST
NORWICH, CT 06360-2708
Phone number: 860-889-1011