Polk Dental Center

NPI #1750581906 in Richland, Mississippi

Provider Information

NPI Number: 1750581906
Entity Type: Organization
Organization Name: Polk Dental Center
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 120 SCARBROUGH ST
Address 2: SUITE B
City: Richland
State: Mississippi
ZIP Code: 39218-9770
Phone: (601) 932-0606

Authorized Official

Name: MRS. NICKI ASHLEY
Title: OFFICE MANAGER
Phone: (601) 932-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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