Individual
SARIKA POLCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
740 S LIMESTONE KENTUCKY CLINIC SECOND FLOOR, LEXINGTON, KY 40536-0001
(859) 323-6261
Mailing address
18416 SHALLOWFORD LN, LOUISVILLE, KY 40245-6210
(502) 709-1457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11119
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/07/2026
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