Organization
AMERICAN DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH POLIN DDS (DOCTOR)
(212) 929-9200
Entity
Organization
Contact information
Practice address
420 W 23RD ST # 1F, NEW YORK, NY 10011-2172
(212) 929-9200
Mailing address
281 CORBIN PL, BROOKLYN, NY 11235-4901
(212) 929-9200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0453491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485125
—
NY
Enumeration date
09/16/2007
Last updated
09/21/2007
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