Individual
EKATERINA LYCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WOODLAND ST STE L-16, HARTFORD, CT 06105-4318
(860) 728-6668
Mailing address
495 NOTT ST, WETHERSFIELD, CT 06109-1505
(347) 210-4962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12372
CT
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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