# THE MARK A POLLAK CORP DBA MARK A POLLAK DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark A Pollak DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083766521
- **Authorized official:** MR. MARK A POLLAK DDS (PRESIDENT)
- **Authorized official phone:** (505) 344-6565

## Contact information

- **Practice address:** 3700 COORS NW, SUITE D, ALBUQUERQUE, NM 87120
- **Practice address phone:** (505) 344-6565
- **Practice address fax:** (505) 344-8217
- **Mailing address:** 3700 COORS NW, SUITE D, ALBUQUERQUE, NM 87120
- **Mailing address phone:** (505) 344-6565
- **Mailing address fax:** (505) 344-8217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1763 | NM | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/12/2009
