Individual
DR. ELIZABETH POLK CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1815 E WORKMAN AVE STE A, WEST COVINA, CA 91791-1423
(626) 966-7150
(626) 966-7150
Mailing address
1815 E WORKMAN AVE STE A, WEST COVINA, CA 91791-1423
(626) 966-7150
(626) 966-7150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40874
CA
Other
Enumeration date
08/11/2005
Last updated
12/21/2010
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