Ekaterina Lycheva
Dentist in Hartford, CT. Individual provider (NPI-1).
NPI number1982176343
StatusActive
Last updated in NPPESDec 26, 2018
Details
- NPI
- 1982176343
- Entity type
- Individual (NPI-1)
- Name
- Ekaterina Lycheva
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2018
- Last updated
- Dec 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12372 | CT | Yes |
Practice location
21 Woodland St Ste L-16Hartford, CT 06105-4318
Phone 860-728-6668
Mailing address
495 Nott StWethersfield, CT 06109-1505
Phone 347-210-4962
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