Individual
DR. ELLEN POLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS.
Contact information
Practice address
9317 113TH ST E, SUITE A, PUYALLUP, WA 98373
(253) 848-7000
(253) 604-0598
Mailing address
9317 113TH ST E, SUITE A, PUYALLUP, WA 98373
(253) 848-7000
(253) 604-0598
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5054747
—
WA
Enumeration date
02/19/2008
Last updated
05/23/2016
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