Organization
KATHRYN POLYAKOV DMD PC
Active
Other names
Star Smile
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ALEXANDRA POLYAKOV (DENTIST/OWNER)
(508) 872-0045
Entity
Organization
Contact information
Practice address
615 CONCORD ST STE 1, FRAMINGHAM, MA 01702-8066
(508) 872-0045
(508) 281-1406
Mailing address
615 CONCORD ST STE 1, FRAMINGHAM, MA 01702-8066
(508) 872-0045
(508) 281-1406
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19569
MA
1223G0001X
General Practice Dentistry
20584
MA
1223P0300X
Periodontics
13973
MA
Other
Enumeration date
01/08/2007
Last updated
05/06/2024
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