Individual
DR. MEGHAN CLAIRE POLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24901 KELLY RD, EASTPOINTE, MI 48021-1367
(586) 772-2090
Mailing address
347 HILLCREST AVE, GROSSE POINTE FARMS, MI 48236-3117
(313) 300-1362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600681
STATE OF MICHIGAN
MI
01
—
5315221004
STATE OF MICHIGAN
MI
Enumeration date
08/06/2020
Last updated
10/16/2021
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