Robert Stanley Polovy, DDS

NPI #1043399637 in Wichita Falls, Texas

Provider Information

NPI Number: 1043399637
Entity Type: Individual
Name: Robert Stanley Polovy, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2925 SOUTHWEST PKWY STE 500
City: Wichita Falls
State: Texas
ZIP Code: 76308-4100
Phone: (940) 696-2064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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