Organization
POLKAN DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB SHRAYMAN DDS (OWNER)
(973) 239-3555
Entity
Organization
Contact information
Practice address
118 POMPTON AVE, VERONA, NJ 07044-2917
(973) 239-3555
(973) 239-0007
Mailing address
118 POMPTON AVE, VERONA, NJ 07044-2917
(973) 239-3555
(973) 239-0007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI021564
NJ
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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