LINDAWATTI HERMAWAN

NEW LONDON, CT
NPI1720658545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CT  13169)
Enumeration Date2021-06-25
Last Update Date2021-06-25
Business Address
LINDAWATTI HERMAWAN
258 S FRONTAGE RD
NEW LONDON, CT 06320-2641
Phone number: 860-437-3462
Mailing Address
LINDAWATTI HERMAWAN
4319 69TH ST APT 2F
WOODSIDE, NY 11377-3974
Phone number:
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