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Individual
DR. TATYANA A STRAUS
Active
Individual
DR. TATYANA A STRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040822
PA
1223G0001X
General Practice Dentistry
Primary
DS040822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103116835
—
PA
05
—
1031168350002
—
PA
Enumeration date
05/31/2016
Last updated
01/17/2020
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