Individual
DR. KATHRYN POLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
916 SE 164TH AVE STE 200, VANCOUVER, WA 98683-9602
(360) 254-8300
Mailing address
16505A SE 1ST ST # 141, VANCOUVER, WA 98684-9509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006333
WA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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