Individual
DR. ANDREW HARI POLENAKOVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 COLUMBUS RD, ATHENS, OH 45701-1335
(740) 593-8530
Mailing address
226 GREENMOUNT BLVD, OAKWOOD, OH 45419-3242
(937) 733-3009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027164
OH
Other
Enumeration date
05/10/2023
Last updated
12/16/2024
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