Individual
LYUDMILA BALYNOVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
94 CONNECTICUT BLVD, E HARTFORD, CT 06108
(860) 528-1359
(860) 291-8990
Mailing address
94 CONNECTICUT BLVD, E HARTFORD, CT 06108
(860) 528-1359
(860) 291-8990
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
006213
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00423156
—
CT
Enumeration date
03/22/2006
Last updated
07/08/2007
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