Individual
DR. ANTHONY DEAN POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
314 E JEFFERSON ST, QUINCY, FL 32351-2530
(850) 618-0114
(850) 618-0126
Mailing address
6008 OX BOTTOM MANOR DR, TALLAHASSEE, FL 32312-9035
(850) 445-8502
(850) 618-0126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075564800
—
FL
Enumeration date
02/13/2006
Last updated
10/19/2009
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