VITALY LEIN

BRIDGEPORT, CT
NPI1952384885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CT  005722)
Enumeration Date2005-11-23
Last Update Date2007-07-08
Business Address
-- VITALY LEIN
982 E MAIN ST
BRIDGEPORT, CT 06608-1913
Phone number: 203-696-3260
Mailing Address
-- VITALY LEIN
471 BARNUM AVE
BRIDGEPORT, CT 06608-2409
Phone number: 203-333-6864
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