Individual
DR. MARK STEPHEN POLLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., PC
Contact information
Practice address
122 VALLEY ST, WILLIMANTIC, CT 06226-2517
(860) 456-4135
(860) 456-1665
Mailing address
122 VALLEY ST, P.O. BOX 17, WILLIMANTIC, CT 06226-2517
(860) 456-4135
(860) 456-1665
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
004820
CT
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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