Carla Rae Poltycia

NPI #1679783195 in North Bend, Oregon

Provider Information

NPI Number
1679783195
Entity Type
Individual
Name
Carla Rae Poltycia
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Enumeration Date
May 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2000 CONNECTICUT AVE
State
Oregon
ZIP Code
97459
Phone
(541) 756-9238

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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