Organization
RAY L POLLACK & ASSOCIATES DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND LYLE POLLOCK DDS (PRESIDENT)
(321) 724-4520
Entity
Organization
Contact information
Practice address
1325 S PINE ST, SUITE #103, MELBOURNE, FL 32901-3187
(321) 724-4520
(321) 723-9762
Mailing address
1325 S PINE ST, SUITE #103, MELBOURNE, FL 32901-3187
(321) 724-4520
(321) 723-9762
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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