Individual
NICHOLAS POLCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13003 EVERETT CT, KANSAS CITY, KS 66109-5311
(913) 683-9941
Mailing address
13003 EVERETT CT, KANSAS CITY, KS 66109-5311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009014145
MO
Other
Enumeration date
03/17/2009
Last updated
08/26/2010
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