Individual
DR. TIM ELDEN POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W WASHINGTON, SAINT FRANCIS, KS 67756-0867
(785) 332-3103
(785) 332-2289
Mailing address
PO BOX 867, 200 W WASHINGTON, SAINT FRANCIS, KS 67756-0867
(785) 332-3103
(785) 332-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4553
KS
Other
Enumeration date
07/28/2006
Last updated
07/09/2007
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