DR. Jason L Polk, D. M. D

NPI #1033131487 in Richland, Mississippi

Provider Information

NPI Number
1033131487
Entity Type
Individual
Name
DR. Jason L Polk, D. M. D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D. M. D
Enumeration Date
Jul 24, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
120 SCARBROUGH ST
Address 2
SUITE B
ZIP Code
39218-9770
Phone
(601) 932-0606

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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