Individual
DR. THEODORE M POLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1233 HIGHLAND AVE, NEEDHAM, MA 02492-2697
(781) 444-2282
(781) 444-6237
Mailing address
1233 HIGHLAND AVE, NEEDHAM, MA 02492-2697
(781) 444-2282
(781) 444-6237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15057
MA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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