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Individual

DR. DENISE A POLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4170 LENNON RD, SUITE D, FLINT, MI 48507-1083
(810) 720-0633
(810) 720-0644
Mailing address
4170 LENNON RD, SUITE D, FLINT, MI 48507-1083
(810) 720-0633
(810) 720-0644

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013801
MI

Other

Enumeration date
09/04/2006
Last updated
07/08/2007
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