Individual
POLINA JAYEVNA MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
980 WILLOW CREEK RD STE 103, PRESCOTT, AZ 86301-1619
(928) 460-5618
Mailing address
7100 W GRANDVIEW RD APT 2067, PEORIA, AZ 85382-4920
(803) 517-7614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009769
AZ
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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