Polkan Dental, P.c. | |
118 Pompton Ave Verona NJ 07044-2917 | |
(973) 239-3555 | |
(973) 239-0007 |
Full Name | Polkan Dental, P.c. |
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Speciality | Clinic/center - Dental |
Location | 118 Pompton Ave, Verona, New Jersey |
Authorized Official Name and Position | Jacob Shrayman (OWNER) |
Authorized Official Contact | 9732393555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Polkan Dental, P.c. 118 Pompton Ave Verona NJ 07044-2917 Ph: (973) 239-3555 | Polkan Dental, P.c. 118 Pompton Ave Verona NJ 07044-2917 Ph: (973) 239-3555 |
NPI Number | 1871708149 |
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Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871708149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DI021564 (New Jersey) | Primary |
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