Individual
TAMARA VOLKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
555 2ND AVE STE D-500, COLLEGEVILLE, PA 19426-3641
(610) 409-9370
(610) 409-9890
Mailing address
555 2ND AVE STE D-500, COLLEGEVILLE, PA 19426-3641
(610) 409-9370
(610) 409-9890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031441L
PA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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