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Organization

DRS. POLACK AND OLANO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIANO ANDRES POLACK DDS, MS (SHAREHOLDER)
(703) 753-8753
Entity
Organization

Contact information

Practice address
7431 NEW LINTON HALL RD, GAINESVILLE, VA 20155
(703) 753-8753
Mailing address
7431 NEW LINTON HALL RD, GAINESVILLE, VA 20155
(703) 753-8753

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0186
VA
1223P0700X
Prosthodontics
0556
VA

Other

Enumeration date
12/27/2007
Last updated
12/27/2007
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