DR. Susan Jeanne Polis, DDS

NPI #1023144540 in Homer, Alaska

Provider Information

NPI Number: 1023144540
Entity Type: Individual
Name: DR. Susan Jeanne Polis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 549 GRUBSTAKE AVE
Address 2: SUITE A
City: Homer
State: Alaska
ZIP Code: 99603-7640
Phone: (907) 235-1286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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