Individual
DR. PHILIP G. POLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1549 S COURT ST, CROWN POINT, IN 46307-4809
(219) 662-0131
(219) 662-3962
Mailing address
1549 S COURT ST, STE B, CROWN POINT, IN 46307-4809
(219) 662-0131
(219) 662-3962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008055A
IN
Other
Enumeration date
06/14/2006
Last updated
04/27/2015
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