| Polan Dental Corporation | |
|
2660 5th Street, Suite 30 Alameda CA 94501 | |
| (510) 384-4000 | |
| (510) 384-4230 |
| Full Name | Polan Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2660 5th Street, Suite 30, Alameda, California |
| Authorized Official Name and Position | Maryra Polan (OWNER DOCTOR) |
| Authorized Official Contact | 5103844000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polan Dental Corporation 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Polan Dental Corporation 2660 5th Street, Suite 30 Alameda CA 94501 Ph: (510) 384-4000 |
| NPI Number | 1649661349 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649661349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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