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Organization

ERICA POLK, DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERICA POLK DDS (OWNER)
(901) 590-1404
Entity
Organization

Contact information

Practice address
5370 ESTATE OFFICE DR STE 2, MEMPHIS, TN 38119-3626
(901) 590-1404
(901) 328-5575
Mailing address
5370 ESTATE OFFICE DR STE 2, MEMPHIS, TN 38119-3626
(901) 590-1404
(901) 328-5575

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527298
TN
Enumeration date
02/02/2022
Last updated
02/02/2022
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