Individual
NATALIIA LYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 828-3933
Mailing address
573 GEORGE ST APT 3, NEW HAVEN, CT 06511-5371
(203) 214-9707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12541
CT
1223G0001X
General Practice Dentistry
019036322
IL
Other
Enumeration date
07/29/2019
Last updated
02/24/2026
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