Individual
DR. DAVID POLUSHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12147 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 980-5192
Mailing address
12147 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 980-5192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48764
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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