Individual
MICHAEL POLIFKO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2010 OPITZ BLVD STE D, WOODBRIDGE, VA 22191-3359
(703) 494-6690
(703) 494-9600
Mailing address
2010 OPITZ BLVD STE D, WOODBRIDGE, VA 22191-3359
(703) 494-6690
(703) 494-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004354
VA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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