Individual
IRINA FROLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 REVERE DR, HOLLAND, PA 18966-5106
(267) 882-7672
Mailing address
496 REVERE DR, HOLLAND, PA 18966-5106
(267) 882-7672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS040073
PA DENTAL LICENSE
PA
Enumeration date
07/01/2014
Last updated
07/01/2014
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