Individual
DR. TRUSTEN POLK LEE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8119 E LAKE SHORE DR, ROCKVILLE, IN 47872-7719
(765) 344-0642
(765) 344-1942
Mailing address
8119 E LAKE SHORE DR, ROCKVILLE, IN 47872-7719
(765) 344-0642
(765) 344-1942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007566A
IN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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