Individual
OLGA FAZLYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
351 W SCHUYLKILL RD STE G-15A, POTTSTOWN, PA 19465-7438
(610) 326-9460
Mailing address
351 W SCHUYLKILL RD STE G-15A, POTTSTOWN, PA 19465-7438
(610) 326-9460
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
09/12/2024
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