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Individual

EDWARD B POLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1144 HOOPER AVE, SUITE 201 B, TOMS RIVER, NJ 08753-8361
(732) 914-1039
(732) 914-8472
Mailing address
1144 HOOPER AVE, SUITE 201 B, TOMS RIVER, NJ 08753-8361
(732) 914-1039
(732) 914-8472

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI017432
NJ
1223G0001X
General Practice Dentistry
DS038225
PA

Other

Enumeration date
12/20/2005
Last updated
05/03/2010
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