Organization
POLUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP G. POLUS D.D.S. (DR.)
(219) 662-0131
Entity
Organization
Contact information
Practice address
1549 SOUTH COURT STREET, SUITE B, CROWN POINT, IN 46307-4809
(219) 662-0131
(219) 662-3962
Mailing address
1549 SOUTH COURT STREET, SUITE B, CROWN POINT, IN 46307-4809
(219) 662-0131
(219) 662-3962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8055
IN
Other
Enumeration date
10/02/2006
Last updated
02/21/2018
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