Organization
JERROLD J. POLLACK,D.D.S.,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD JEROME POLLACK D.D.S. (PRESIDENT-OWNER)
(301) 694-9655
Entity
Organization
Contact information
Practice address
1133 KESWICK PL, FREDERICK, MD 21703-6168
(301) 694-9655
Mailing address
5405 WOODLYN CT, FREDERICK, MD 21703-6963
(301) 371-7730
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3810
MD
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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