Individual
DR. POLLY CHACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7954 BALTIMORE ANNAPOLIS BLVD, SUITE 1-C, GLEN BURNIE, MD 21060-8188
(410) 766-2221
Mailing address
776 HARMONY AVE, ARNOLD, MD 21012-1455
(410) 544-1153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12388
MD
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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