Organization
RALPH P. POLLACK, DMD MSCD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH P POLLACK D.M.D. (PRESIDENT)
(508) 993-9105
Entity
Organization
Contact information
Practice address
41 STATE RD, DARTMOUTH, MA 02747-3319
(508) 993-9105
(508) 993-9115
Mailing address
41 STATE RD, DARTMOUTH, MA 02747-3319
(508) 993-9105
(508) 993-9115
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9796584
—
MA
Enumeration date
04/16/2009
Last updated
04/16/2009
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