Individual
DR. LIDIYA ZAVALISHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3558
(860) 679-2000
Mailing address
5 TALCOTT RIDGE RD UNIT B3, FARMINGTON, CT 06032-3558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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