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Natalia Lisov, RDH

Dental Hygienist in Utica, NY. Individual provider (NPI-1).

NPI number1093005449
StatusActive
Last updated in NPPESApr 19, 2011

Details

NPI
1093005449
Entity type
Individual (NPI-1)
Name
Mrs. Natalia Lisov
Credential
RDH
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2011
Last updated
Apr 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist026297NYYes

Practice location

1651 Oneida St
Utica, NY 13501-4723

Phone 315-793-7600

Mailing address

1651 Oneida St
Utica, NY 13501-4723

Phone 315-793-7600

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