Individual
JENNA NICOLE POLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2211 S EOLA RD STE D, AURORA, IL 60503-6485
(630) 851-5250
Mailing address
2211 S EOLA RD STE D, AURORA, IL 60503-6485
(708) 216-5560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030616
IL
Other
Enumeration date
04/13/2015
Last updated
07/13/2016
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