Michael Polifko III, DDS
NPI #1053466458 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1053466458
- Entity Type
- Individual
- Name
- Michael Polifko III, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2010 OPITZ BLVD STE D
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22191-3359
- Phone
- (703) 494-6690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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