Individual
DR. BRIANA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7085
Mailing address
101 BODIN CIR, ORAL SURGERY DEPARTMENT, TRAVIS AFB, CA 94535
(707) 423-7085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9628
SC
390200000X
Student in an Organized Health Care Education/Training Program
9628
SC
Other
Enumeration date
04/07/2020
Last updated
10/27/2023
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