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Individual

DR. ELIZABETH ASHLEY POLAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
888 BESTGATE RD STE 300, ANNAPOLIS, MD 21401-2955
(303) 880-1999
Mailing address
24 HUNTING CT UNIT 22, EDGEWATER, MD 21037-1232
(303) 880-1999

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17400
MD

Other

Enumeration date
08/02/2012
Last updated
12/02/2025
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