Individual
ALEXANDRA POLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1549 S COURT ST STE B, CROWN POINT, IN 46307-4809
(219) 662-0131
Mailing address
1549 S COURT ST STE B, CROWN POINT, IN 46307-4809
(219) 662-0131
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12012199A
IN
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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