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Organization
DRS. POLACK AND OLANO, PC
Active
Organization
DRS. POLACK AND OLANO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANO ANDRES POLACK DDS, MS (SHAREHOLDER)
(703) 753-8753
Entity
Organization
Contact information
Practice address
7431 NEW LINTON HALL RD, GAINESVILLE, VA 20155
(703) 753-8753
Mailing address
7431 NEW LINTON HALL RD, GAINESVILLE, VA 20155
(703) 753-8753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0186
VA
1223P0700X
Prosthodontics
0556
VA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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