Individual
SURMILENA POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
183 JEFFERSON ST, 2ND FLOOR, PASSAIC, NJ 07055
(973) 472-1010
(973) 473-6232
Mailing address
183 JEFFERSON ST, 2ND FLOOR, PASSAIC, NJ 07055
(973) 472-1010
(973) 473-6232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102282700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077933
—
NJ
Enumeration date
01/30/2007
Last updated
06/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us