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Individual

DR. SCOTT ALAN POLZIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
(218) 724-7003
Mailing address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
(218) 724-7003

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8947
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
424113
UNITED CONCORDIA
MN
01
46268PO
BCBS MN
MN
01
904481008109
PREFERRED ONE
MN
01
HP37188
HEALTH PARTNERS
MN
Enumeration date
10/02/2006
Last updated
10/30/2007
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