Organization
ALAMEDALANDING DENTISTRY DENTAL GROUP
Active
Other names
Polan Dental Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MARYRA POLAN DDS (OWNER DOCTOR)
(510) 384-4000
Entity
Organization
Contact information
Practice address
2660 5TH STREET, SUITE 30, ALAMEDA, CA 94501
(510) 384-4000
(510) 384-4230
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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