Individual
MRS. LARISA STRELKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
301 OXFORD VALLEY RD, SUITE 1105A, YARALEY, PA 19067
(215) 493-7000
(215) 493-7002
Mailing address
301 OXFORD VALLEY RD, SUITE 1105A, YARALEY, PA 19067
(215) 493-7000
(215) 493-7002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029534L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0774792
BCBS
PA
01
—
21026744
DELTA
PA
Enumeration date
10/17/2006
Last updated
07/08/2007
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