Individual
BENJAMIN L POLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CUMMINGS CTR STE 104M, BEVERLY, MA 01915-6105
(978) 922-1824
(978) 524-0992
Mailing address
100 CUMMINGS CTR STE 104M, BEVERLY, MA 01915-6105
(978) 922-1824
(978) 524-0992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14772
MA
Other
Enumeration date
07/26/2007
Last updated
09/13/2016
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