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1063623650
LARISA TKACH
NEW YORK, NY
NPI
1063623650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 051565)
Enumeration Date
2007-05-24
Last Update Date
2020-01-19
Business Address
LARISA TKACH DDS
1560 BROADWAY STE 601
NEW YORK, NY 10036-2520
Phone number: 212-278-8105
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Mailing Address
LARISA TKACH DDS
1560 BROADWAY STE 601
NEW YORK, NY 10036-2520
Phone number: 212-278-8105
Copy
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