Individual
CARLA RAE POLTYCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459
(541) 756-9238
(541) 756-9617
Mailing address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459
(541) 756-9238
(541) 756-9617
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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