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Organization
POLIDO PROFESSIONAL DENTAL CORPORATION
Active
Organization
POLIDO PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE POLIDO DDS (DDS)
(323) 669-2453
Entity
Organization
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-4131
Mailing address
6430 W SUNSET BLVD, SUITE600, LOS ANGELES, CA 90028-7901
(323) 669-2337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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