| Dr Larissa Ann Delo, DDS | |
|
6 Niles Hill Rd, Coudersport, PA 16915-1211 | |
| (814) 274-1111 | |
| Not Available |
| Full Name | Dr Larissa Ann Delo |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 6 Niles Hill Rd, Coudersport, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114081874 | NPI | - | NPPES |
| 0015085930002 | Other | PA | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-028583-L (Pennsylvania) | Secondary |
| 122300000X | Dentist | DS-028583-L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larissa Ann Delo, DDS 6 Niles Hill Rd, Coudersport, PA 16915-1211 Ph: (814) 274-1111 | Dr Larissa Ann Delo, DDS 6 Niles Hill Rd, Coudersport, PA 16915-1211 Ph: (814) 274-1111 |
Dr. Shane Christopher Blake, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 507 Dwight St, Coudersport, PA 16915 Phone: 814-274-7262 Fax: 800-888-4760 | |
Dr. Nina Lelic Miller, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Victor Douglas Brown, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6 Niles Hill Road, Coudersport, PA 16915 Phone: 814-274-1111 Fax: 814-274-7786 | |
Holly Mauser, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5252 | |
Dr. Peter C Ryan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 East Second St, Coudersport, PA 16915 Phone: 814-274-7731 Fax: 814-274-7731 | |
Tod Evans Twichell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5252 |