Individual
TATYANA VAKHLAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6975 W GLENDALE AVE, GLENDALE, AZ 85303-2611
(602) 243-7277
Mailing address
11048 N BALBOA DR, SUN CITY, AZ 85351-4207
(602) 243-7277
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H05488
AZ
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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