Individual
POLINA CHERNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
680 W MAIN ST, FREEHOLD, NJ 07728-2527
(732) 462-8770
Mailing address
680 W MAIN ST, FREEHOLD, NJ 07728-2527
(732) 462-8770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058279
NY
1223G0001X
General Practice Dentistry
Primary
22DI02865500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2015
Last updated
09/08/2023
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