# POLSKY DDS &VIRK DMD MS PS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POLSKYDDS&VIRK DMD MS PS
- **Other names:** Dental Surgery Center of Auburn
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437423928
- **Legal business name:** POLSKYDDS&VIRK DMD MS PS
- **Authorized official:** DR. ELLEN POLSKY DDS (PARTNER)
- **Authorized official phone:** (617) 792-3007

## Contact information

- **Practice address:** 1002 15TH ST SW, SUITE 215, AUBURN, WA 98001-6502
- **Practice address phone:** (253) 736-6600
- **Practice address fax:** (253) 736-6601
- **Mailing address:** PO BOX 696, CENTRALIA, WA 98531-0696
- **Mailing address phone:** (360) 736-0928
- **Mailing address fax:** (360) 736-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 02/29/2012