LARISA TKACH

NEW YORK, NY
NPI1063623650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  051565)
Enumeration Date2007-05-24
Last Update Date2020-01-19
Business Address
LARISA TKACH DDS
1560 BROADWAY STE 601
NEW YORK, NY 10036-2520
Phone number: 212-278-8105
Mailing Address
LARISA TKACH DDS
1560 BROADWAY STE 601
NEW YORK, NY 10036-2520
Phone number: 212-278-8105