| Drs. Polack And Olano, Pc | |
|
7431 New Linton Hall Rd Gainesville VA 20155 | |
| (703) 753-8753 | |
| Not Available |
| Full Name | Drs. Polack And Olano, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7431 New Linton Hall Rd, Gainesville, Virginia |
| Authorized Official Name and Position | Mariano Andres Polack (SHAREHOLDER) |
| Authorized Official Contact | 7037538753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Polack And Olano, Pc 7431 New Linton Hall Rd Gainesville VA 20155 Ph: (703) 753-8753 | Drs. Polack And Olano, Pc 7431 New Linton Hall Rd Gainesville VA 20155 Ph: (703) 753-8753 |
| NPI Number | 1700060712 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700060712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0186 (Virginia) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 0556 (Virginia) | Secondary |
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