# ALAMEDALANDING DENTISTRY DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Polan Dental Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649661349
- **Authorized official:** MARYRA POLAN DDS (OWNER DOCTOR)
- **Authorized official phone:** (510) 384-4000

## Contact information

- **Practice address:** 2660 5TH STREET, SUITE 30, ALAMEDA, CA 94501
- **Practice address phone:** (510) 384-4000
- **Practice address fax:** (510) 384-4230
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 02/17/2015