Individual
JOSHUA M POLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 S 2ND AVE, CLARION, PA 16214-1934
(814) 226-8690
Mailing address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
(412) 487-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042709
PA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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